DELOVELY GLORIA JACKSON FNP
NPI 1013370857
Nurse Practitioner - Family in Chicago Heights, IL

Q: What is Delovely Jackson's NPI number?

The NPI number for Delovely Jackson is 1013370857. It was assigned to this individual provider in the NPPES registry on March 30, 2016.

Q: What is Delovely Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Delovely Jackson was last updated on May 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 30, 2016PECOS EnrolledAccepts Medicare Assignment

1400 OTTO BLVD, CHICAGO HEIGHTS, IL 60411(708) 733-7200(708) 733-7222 Get Directions Write a Review

NPPES record last updated: May 8, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 8, 2023, May 13, 2022, Mar 15, 2021 and 1 more (4 updates tracked since 2016).

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About Delovely Gloria Jackson Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DELOVELY GLORIA JACKSON FNP (NPI 1013370857) is an individual family provider in Chicago Heights, Illinois, licensed in Illinois (209013987) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1013370857

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameDELOVELY GLORIA JACKSONCredential: FNP

Location Address1400 OTTO BLVDChicago Heights, IL 60411-3741

Mailing Address35318 Eagle WayChicago, IL 60678-0353 · (317) 528-4800 · Fax (317) 865-1479

Phone(708) 733-7200

Fax(708) 733-7222

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateMarch 30, 2016

Last NPPES UpdateMay 8, 20234 updates tracked since enumeration

NPPES CertifiedMay 8, 2023

✔ NPI 1013370857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in IL · 209013987✔ Licensed in IL · 277001922

1400 OTTO BLVD, Chicago Heights, IL 60411

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Other Identifiers 1

OtherF400298104Fpn Medicare Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Delovely Gloria Jackson Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9133418627

PECOS Enrollment IDI20160524000140

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

75 services72 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

22 services22 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

21 services20 patients

Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635

This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60411 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEXIS S THOMAS

Nurse Practitioner (Family)