SEOLAR L JACKSON PMNP-BC
NPI 1043698384
Nurse Practitioner - Psychiatric/Mental Health in Buffalo, NY
About Seolar L Jackson Pmnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SEOLAR L JACKSON PMNP-BC (NPI 1043698384) is an individual psychiatric/mental health provider in Buffalo, New York, licensed in New York (403929) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
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
Seolar L Jackson Pmnp-bc 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 14209 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BUFFALO, NY 14209
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 Seolar Jackson's NPI number?
The NPI number for Seolar Jackson is 1043698384. It was assigned to this individual provider in the NPPES registry on May 7, 2015.
Where is Seolar Jackson located?
Seolar Jackson practices at 768 Delaware Ave, Buffalo, NY 14209. The listed phone number is (716) 882-3151.
What is Seolar Jackson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Seolar Jackson enrolled in Medicare?
Yes. Seolar 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.
When was this NPI record last updated?
The NPPES record for Seolar Jackson was last updated on November 9, 2022. 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.
# Seolar L Jackson, PMNP-BC · NPI 1043698384
Psychiatric/Mental Health physician in Buffalo, New York. Individual provider, active in the CMS NPPES registry since May 7, 2015.
## Identity
- **NPI:** 1043698384 (Entity type: Individual)
- **Enumerated:** May 7, 2015
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 403929 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 768 DELAWARE AVE, Buffalo, NY 14209-2006
- **Phone:** (716) 882-3151 · **Fax:** (716) 886-4002
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** November 9, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1043698384) · Data from the CMS NPPES public registry.