COURTNEY MARIE JACKSON MD
NPI 1013533926
Family Medicine in Fort Wayne, IN

Active since June 17, 2020PECOS EnrolledAccepts Medicare Assignment
6507 E STATE BLVD, FORT WAYNE, IN 46815(260) 486-3300(260) 485-3600 Get Directions Write a Review

NPPES record last updated: February 2, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 2, 2026, Dec 11, 2025, Jan 4, 2024 and 1 more (4 updates tracked since 2020).

About Courtney Marie Jackson Md NPPES

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

COURTNEY MARIE JACKSON MD (NPI 1013533926) is an individual family medicine provider in Fort Wayne, Indiana, licensed in Indiana (01088399A) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, is affiliated with Parkview Regional Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1013533926
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameCOURTNEY MARIE JACKSONCredential: MD
Location Address6507 E STATE BLVDFort Wayne, IN 46815-7026
Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701
Fax(260) 485-3600
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 17, 2020
Last NPPES UpdateFebruary 2, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2026
✔ NPI 1013533926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IN · 01088399A
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
6507 E STATE BLVD, Fort Wayne, IN 46815

Other Identifiers 3

Other068010931IN · Medicare Ptan
Other266430813Medicare Ptan
Medicaid300041262IN

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Courtney Marie Jackson Md 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 ID7719300292
PECOS Enrollment IDI20230804000959
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Courtney Jackson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rheumatology
3816 NEW VISION DR
Fort Wayne, IN 46845
  • Reassigned Medicare billing, Indiana enrollment
  • 1,752 clinicians in this Medicare group
Dietitian, Registered
1800 N CAPITOL AVE, B445
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 1,781 clinicians in this Medicare group
General Practice
1701 N SENATE BLVD
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 5,212 clinicians in this Medicare group
Family Medicine
1701 N SENATE BLVD
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 737 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
27 services18 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
18 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Parkview Regional Medical Center

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150021
Location11109 Parkview Plaza DriveFort Wayne, IN 46845 · Allen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46815 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Internal Medicine
6507 E STATE BLVD
FORT WAYNE, IN 46815
Physician Assistant
6507 E STATE BLVD
FORT WAYNE, IN 46815
Nurse Practitioner
6507 E STATE BLVD
FORT WAYNE, IN 46815
Nurse Practitioner
6507 E STATE BLVD
FORT WAYNE, IN 46815
Pediatrics
6507 E STATE BLVD
FORT WAYNE, IN 46815
Nurse Practitioner
6507 E STATE BLVD
FORT WAYNE, IN 46815
Family Medicine
6507 E STATE BLVD
FORT WAYNE, IN 46815

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Courtney Jackson's NPI number?

The NPI number for Courtney Jackson is 1013533926. It was assigned to this individual provider in the NPPES registry on June 17, 2020.

Where is Courtney Jackson located?

Courtney Jackson practices at 6507 E State Blvd, Fort Wayne, IN 46815. The listed phone number is (260) 486-3300.

What is Courtney Jackson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Courtney Jackson enrolled in Medicare?

Yes. Courtney Jackson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Courtney Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Courtney Jackson reassigns Medicare benefits to 4 organizations: Parkview Health System, Inc. (Fort Wayne, IN), Indiana University Health Care Associates, Inc. (Indianapolis, IN), Iu Health Medical Group, LLC (Indianapolis, IN) and University Family Physicians, Inc. (Indianapolis, IN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Courtney Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Courtney Jackson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Courtney Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Courtney Jackson affiliated with any hospitals?

According to CMS data, Courtney Jackson is affiliated with Parkview Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Courtney Jackson was last updated on February 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.