ALLIE JACKSON NP
NPI 1053983734
Nurse Practitioner - Family in Springfield, MO
About Allie Jackson Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALLIE JACKSON NP (NPI 1053983734) is an individual family provider in Springfield, Missouri, licensed in Missouri (F06211962) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
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
Allie Jackson Np 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 65804 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Allie Jackson's NPI number?
The NPI number for Allie Jackson is 1053983734. It was assigned to this individual provider in the NPPES registry on July 13, 2021.
Where is Allie Jackson located?
Allie Jackson practices at 1435 E Bradford Pkwy Ste 105, Springfield, MO 65804. The listed phone number is (417) 881-4994.
What is Allie Jackson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Allie Jackson enrolled in Medicare?
Yes. Allie 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 Allie Jackson was last updated on July 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Allie Jackson, NP · NPI 1053983734
Family physician in Springfield, Missouri. Individual provider, active in the CMS NPPES registry since July 13, 2021.
## Identity
- **NPI:** 1053983734 (Entity type: Individual)
- **Enumerated:** July 13, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F06211962 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 1435 E BRADFORD PKWY STE 105, Springfield, MO 65804-6512
- **Phone:** (417) 881-4994
## 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:** July 13, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1053983734) · Data from the CMS NPPES public registry.