AMELIA DEE JACKSON NP-C
NPI 1093105918
Nurse Practitioner in Gravette, AR

Active since January 30, 2015PECOS EnrolledAccepts Medicare Assignment
1101 JACKSON ST SW, GRAVETTE, AR 72736(479) 787-5221(479) 787-9692 Get Directions Write a Review

NPPES record last updated: October 13, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 13, 2023, Aug 10, 2022, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Amelia Dee Jackson Np-c NPPES

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

AMELIA DEE JACKSON NP-C (NPI 1093105918) is an individual nurse practitioner in Gravette, Arkansas, licensed in Arkansas (A004287) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1093105918
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameAMELIA DEE JACKSONCredential: NP-C
Location Address1101 JACKSON ST SWGravette, AR 72736-9121
Mailing Address1101 Jackson St SwGravette, AR 72736-9121 · (479) 787-5221 · Fax (479) 787-9692
Fax(479) 787-9692
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJanuary 30, 2015
Last NPPES UpdateOctober 13, 20234 updates tracked since enumeration
NPPES CertifiedOctober 13, 2023
NPI 1093105918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in AR · A004287
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1101 JACKSON ST SW, Gravette, AR 72736

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 and accepts Medicare assignment

Amelia Dee Jackson Np-c 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 ID4486970183
PECOS Enrollment IDI20150223001527
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72736 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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 20

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

Family Medicine
1101 JACKSON ST SW
GRAVETTE, AR 72736
Nurse Practitioner (Psychiatric/Mental Health)
1101 JACKSON ST SW
GRAVETTE, AR 72736
Nurse Practitioner (Psychiatric/Mental Health)
1101 JACKSON ST SW
GRAVETTE, AR 72736
Emergency Medicine
1101 JACKSON ST SW
GRAVETTE, AR 72736
Clinical Nurse Specialist
1101 JACKSON ST SW
GRAVETTE, AR 72736
Podiatrist (Foot & Ankle Surgery)
1101 JACKSON ST SW
GRAVETTE, AR 72736
General Acute Care Hospital (Critical Access)
1101 JACKSON ST SW
GRAVETTE, AR 72736
Nurse Anesthetist, Certified Registered
1101 JACKSON ST SW
GRAVETTE, AR 72736

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 Amelia Jackson's NPI number?

The NPI number for Amelia Jackson is 1093105918. It was assigned to this individual provider in the NPPES registry on January 30, 2015.

Where is Amelia Jackson located?

Amelia Jackson practices at 1101 Jackson St SW, Gravette, AR 72736. The listed phone number is (479) 787-5221.

What is Amelia Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Amelia Jackson enrolled in Medicare?

Yes. Amelia 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.

What insurance does Amelia Jackson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 6 other insurers list Amelia 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 Amelia Jackson was last updated on October 13, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.