LEA JACKSON NP
NPI 1093282063
Nurse Practitioner - Family in Indianapolis, IN

Q: What is Lea Jackson's NPI number?

The NPI number for Lea Jackson is 1093282063. It was assigned to this individual provider in the NPPES registry on October 29, 2018.

Q: What is Lea Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Lea Jackson was last updated on October 6, 2023. 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.

Active since October 29, 2018PECOS Enrolled

1481 W 10TH ST, INDIANAPOLIS, IN 46202(317) 554-0000 Get Directions Write a Review

NPPES record last updated: October 6, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Oct 6, 2023, Dec 21, 2022, Sep 6, 2019 and 3 more (6 updates tracked since 2018).

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About Lea Jackson Np NPPES

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

LEA JACKSON NP (NPI 1093282063) is an individual family provider in Indianapolis, Indiana, licensed in Indiana (71012301A) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093282063

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLEA JACKSONCredential: NP

Location Address1481 W 10TH STIndianapolis, IN 46202-2803

Mailing Address1481 W 10th StIndianapolis, IN 46202-2803

Phone(317) 554-0000

Sole ProprietorNo

Enumeration DateOctober 29, 2018

Last NPPES UpdateOctober 6, 20236 updates tracked since enumeration

NPPES CertifiedOctober 6, 2023

✔ NPI 1093282063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in IN · 71012301A✔ Licensed in WA · AP60914149✔ Licensed in WA · N360922794

1481 W 10TH ST, Indianapolis, IN 46202

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Other Identifiers 1

OtherQ00387667IN · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans.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)

Lea Jackson Np 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

DR. SATISH KENCHAIAH MD, MPH

Internal Medicine (Cardiovascular Disease)