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NICOLE JACKSON
NPI 1043753403
Nurse Practitioner - Psychiatric/Mental Health in Columbus, OH

Active since December 02, 2016PECOS Enrolled
4646 HILTON CORPORATE DR, COLUMBUS, OH 43232(614) 914-4541(614) 866-8580 Get Directions Write a Review

NPPES record last updated: May 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicole Jackson NPPES

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

NICOLE JACKSON (NPI 1043753403) is an individual psychiatric/mental health provider in Columbus, Ohio, licensed in Ohio (020277) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1043753403
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameNICOLE JACKSON
Location Address4646 HILTON CORPORATE DRColumbus, OH 43232-4147
Mailing Address8483 Torwoodlee Ct # 8483Dublin, OH 43017-9739 · (614) 203-8546
Phone(614) 914-4541
Fax(614) 866-8580
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateDecember 2, 2016
Last NPPES UpdateMay 30, 2025
NPPES CertifiedMay 30, 2025
✔ NPI 1043753403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in OH · 020277
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 020277 (OH)
4646 HILTON CORPORATE DR, Columbus, OH 43232
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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Jackson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5890079206
PECOS Enrollment IDI20170303000351
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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
267 services49 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
37 services34 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
29 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43232 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 3

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

PATRICIA V. HASSON LISW, LICDC
Social Worker (Clinical)
4646 HILTON CORPORATE DR
COLUMBUS, OH 43232
Franklin County (614) 695-3445
DOMINIC NCHAMUKONG
Nurse Practitioner (Psychiatric/Mental Health)
4646 HILTON CORPORATE DR
COLUMBUS, OH 43232
Franklin County (614) 636-6290
FARHIA FARAH JAMA ARNP
Nurse Practitioner (Psychiatric/Mental Health)
4646 HILTON CORPORATE DR
COLUMBUS, OH 43232
Franklin County (614) 218-9397

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 Nicole Jackson's NPI number?

The NPI number for Nicole Jackson is 1043753403. It was assigned to this individual provider in the NPPES registry on December 2, 2016.

Where is Nicole Jackson located?

Nicole Jackson practices at 4646 Hilton Corporate Dr, Columbus, OH 43232. The listed phone number is (614) 914-4541.

What is Nicole Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Nicole Jackson enrolled in Medicare?

Yes. Nicole Jackson is registered in the Medicare PECOS enrollment system.

What insurance does Nicole Jackson accept?

Health plans from MedMutual list Nicole 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.

When was this NPI record last updated?

The NPPES record for Nicole Jackson was last updated on May 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.