VICKI JACKSON
NPI 1083076772
Counselor - Mental Health in Homer, AK

Active since March 22, 2016PECOS Enrolled
65.45/100
CMS Quality Rating
4136 BARTLETT ST, HOMER, AK 99603(907) 235-6127 Get Directions Write a Review

NPPES record last updated: October 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 22, 2021, Mar 22, 2016 (2 updates tracked since 2016).

About Vicki Jackson NPPES

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

VICKI JACKSON (NPI 1083076772) is an individual mental health provider in Homer, Alaska and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083076772
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameVICKI JACKSON
Location Address4136 BARTLETT STHomer, AK 99603-7001
Mailing Address818 Smoky Bay Way # 140Homer, AK 99603-7653 · (509) 496-9116
Sole ProprietorNo
Enumeration DateMarch 22, 2016
Last NPPES UpdateOctober 22, 20212 updates tracked since enumeration
NPPES CertifiedOctober 4, 2021
NPI 1083076772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
4136 BARTLETT ST, Homer, AK 99603

Accepted 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)

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

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 Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

65.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.83
Promoting Interoperability100
Improvement Activities40
Cost10

Other Providers at the Same Location NPPES 19

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

Family Medicine
4136 BARTLETT ST, HOMER MEDICAL CLINIC
HOMER, AK 99603
Nurse Practitioner (Family)
4136 BARTLETT ST
HOMER, AK 99603
Family Medicine
4136 BARTLETT ST
HOMER, AK 99603
Nurse Practitioner (Family)
4136 BARTLETT ST
HOMER, AK 99603
Advanced Practice Midwife
4136 BARTLETT ST, HOMER MEDICAL CLINIC
HOMER, AK 99603
Advanced Practice Midwife
4136 BARTLETT ST
HOMER, AK 99603
Family Medicine
4136 BARTLETT ST, HOMER MEDICAL CLINIC
HOMER, AK 99603
Advanced Practice Midwife
4136 BARTLETT ST, HOMER MEDICAL CLINIC
HOMER, AK 99603

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 Vicki Jackson's NPI number?

The NPI number for Vicki Jackson is 1083076772. It was assigned to this individual provider in the NPPES registry on March 22, 2016.

Where is Vicki Jackson located?

Vicki Jackson practices at 4136 Bartlett St, Homer, AK 99603. The listed phone number is (907) 235-6127.

What is Vicki Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Vicki Jackson enrolled in Medicare?

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

What insurance does Vicki Jackson accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Vicki 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 Vicki Jackson was last updated on October 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.