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

Q: 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.

Q: What is Courtney Jackson's specialty?

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

Q: 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 6 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.

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: August 02, 2026.

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

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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 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

Phone(260) 486-3300

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

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Other Identifiers 3

Other068010931IN · Medicare Ptan

Other266430813Medicare Ptan

Medicaid300041262IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

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.

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

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 6

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

JULIE BRYAN M.D.

Internal Medicine