Active NPI 1194172726 Individual Practitioner Female Practitioner

Michelle Marie Jacques , RN-BC, AGPCNP-BC, CMT

Nurse Practitioner • Fairfax, VA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Michelle Jacques, RN-BC, AGPCNP-BC, CMT is a certified Nurse Practitioner practicing in Fairfax, VA. With approximately 11 years of clinical experience since completing medical education in 2015, Michelle Jacques delivers high-quality medical care to the local community at 10400 EATON PL STE 312.

Michelle Jacques accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, therapy procedure using manual technique, each, therapy procedure to re-educate brain-to-nerve-to-muscle function, each. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

10400 Eaton Pl Ste 312

Fairfax, VA 220302208

Telephone 7036158422

Fax 8336060558

Associated Practice Facility / Clinic

🏢 Collaborative Pain Management, Pllc Facility NPI 1356947295

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Fairfax, VA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

11 Yrs -1.7 yrs vs City Avg

City Avg: 12.7 Yrs

State Avg: 11.1 Yrs

Regional Practice Density

85 Specialists

Practicing in Fairfax, VA (1750 Statewide)

Telehealth Adoption Rate

31.8% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

61.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jacques (11 Years) 11 Yrs

Fairfax Specialty Average (12.7 Years) 12.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	141	23	$288.63	$115.00
97140 Therapy procedure using manual technique, each 15 minutes	132	14	$45.00	$17.47
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	111	15	$45.00	$26.37
99213 Established patient office or other outpatient visit, typically 15 minutes	84	26	$188.68	$78.69
80305 Testing for presence of drug, read by direct observation	46	16	$89.17	$11.81
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	39	13	$352.47	$136.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97140 Therapy procedure using manual technique, each 15 minutes	147	14	$25.00	$20.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	133	27	$189.38	$111.84
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	83	17	$25.00	$24.51
99213 Established patient office or other outpatient visit, typically 15 minutes	59	23	$130.68	$77.08
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	59	20	$252.47	$153.73
80305 Testing for presence of drug, read by direct observation	36	17	$89.17	$11.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97140 Therapy procedure using manual technique, each 15 minutes	220	20	$25.00	$20.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	88	16	$188.63	$119.33
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	79	18	$25.00	$23.47
99213 Established patient office or other outpatient visit, typically 15 minutes	71	22	$130.68	$78.62
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	53	14	$80.30	$54.13
20553 Injection of trigger points, 3 or more muscles	41	11	$113.60	$58.34
80305 Testing for presence of drug, read by direct observation	24	16	$89.17	$12.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97140 Therapy procedure using manual technique, each 15 minutes	138	14	$25.00	$21.05
99213 Established patient office or other outpatient visit, typically 15 minutes	42	14	$130.68	$81.97
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	41	16	$25.00	$25.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	12	$188.63	$103.76
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$358.01	$217.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	161	108	$278.00	$72.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	80	58	$409.00	$104.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	377	153	$409.00	$103.80
99213 Established patient office or other outpatient visit, typically 15 minutes	357	163	$278.00	$70.60
J1885 Injection, ketorolac tromethamine, per 15 mg	206	35	$20.00	$0.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	60	60	$629.00	$157.75
20553 Injection of trigger points, 3 or more muscles	55	37	$244.00	$62.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$415.00	$104.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	326	139	$409.00	$102.54
J1885 Injection, ketorolac tromethamine, per 15 mg	173	24	$20.00	$0.51
99213 Established patient office or other outpatient visit, typically 15 minutes	105	76	$280.50	$69.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	93	93	$629.00	$157.49
20553 Injection of trigger points, 3 or more muscles	41	24	$244.00	$59.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$629.00	$156.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	30	$409.00	$102.73

Medical Specialties & State Licenses

CMS Verified: 2025-03-14

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License VA 0024173383

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Massage Therapist

NUCC Taxonomy Code: 225700000X

State License VA 0019005354

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Nurse Practitioner - Adult Health

NUCC Taxonomy Code: 363LA2200X

State License VA 0024173383

Definition to come...

Nurse Practitioner - Gerontology

NUCC Taxonomy Code: 363LG0600X

State License VA 0024173383

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Landon Owen , PT

Physical Therapist

NPI 1174523997

Physical Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events

📍

Updated Practice Location March 14, 2025

Registered at 10400 EATON PL STE 312, FAIRFAX, VA 220302208 (Tel: 7036158422)

📍

Updated Business Mailing Address March 14, 2025

Registered at 10400 EATON PL STE 312, FAIRFAX, VA 220302208 (Tel: 7036158422)

✅

NPI Profile Active January 15, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location January 15, 2018

Registered at 8501 ARLINGTON BLVD STE 410, FAIRFAX, VA 220314625 (Tel: 7037384331)

📍

Updated Business Mailing Address January 15, 2018

Registered at 11350 MCCORMICK RD, BLDG 1, SUITE 501, HUNT VALLEY, MD 21031 (Tel: 4103291071)

👤

Provider Name / Credentials Updated January 15, 2018

Recorded as MICHELLE JACQUES, RN-BC,AGPCNP-BC,CMT

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 15, 2018

Massage Therapist (License #0019005354 in VA)

✅

NPI Profile Active May 24, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location May 24, 2016

Registered at 3031 JAVIER RD, 100, FAIRFAX, VA 220314637 (Tel: 7037384331)

📍

Updated Business Mailing Address May 24, 2016

Registered at 3031 JAVIER RD, 100, FAIRFAX, VA 220314637 (Tel: 7037384331)

👤

Provider Name / Credentials Updated May 24, 2016

Recorded as MICHELLE JACQUES, RN-BC,AGPCNP-BC,CMT

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 24, 2016

Massage Therapist (License #0019005354 in VA)

🟢

Initial NPI Registration & Enumeration May 24, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1194172726

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 24, 2016

Last Update: March 14, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

10400 Eaton Pl Ste 312

Fairfax, VA 220302208

Phone: 7036158422

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.