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JACOB JACKSON APRN, CNP
NPI 1134629405
Nurse Practitioner - Family in Elk City, OK

Active since February 13, 2018PECOS EnrolledAccepts Medicare Assignment
91.18/100
CMS Quality Rating
1800 W 1ST ST STE 105B, ELK CITY, OK 73644(580) 225-2518(580) 225-3167 Get Directions Write a Review

NPPES record last updated: March 26, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 26, 2020, Feb 13, 2018 (2 updates tracked since 2018).

About Jacob Jackson Aprn, Cnp NPPES

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

JACOB JACKSON APRN, CNP (NPI 1134629405) is an individual family provider in Elk City, Oklahoma, licensed in Oklahoma (113330) and active in the NPI registry since February 2018. He is enrolled in Medicare PECOS, is affiliated with Great Plains Regional Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1134629405
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJACOB JACKSONCredential: APRN, CNP
Location Address1800 W 1ST ST STE 105BElk City, OK 73644-3133
Mailing AddressPo Box 2339Elk City, OK 73648-2339 · (580) 225-2518 · Fax (580) 225-3167
Phone(580) 225-2518
Fax(580) 225-3167
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateFebruary 13, 2018
Last NPPES UpdateMarch 26, 20202 updates tracked since enumeration
NPPES CertifiedMarch 26, 2020
✔ NPI 1134629405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OK · 113330
Also ListedRegistered Nurse · Medical-SurgicalTaxonomy 163WM0705X · License 113330 (OK)
1800 W 1ST ST STE 105B, Elk City, OK 73644
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health.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

Jacob Jackson Aprn, Cnp 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 ID4082978143
PECOS Enrollment IDI20180426001863
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 2

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.
1,156 services101 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.
34 services34 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Great Plains Regional Medical Center

Acute Care Hospitals · Elk City, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370019
Location1801 West 3rd StreetElk City, OK 73644 · Beckham County
Emergency services Birthing friendly

Weatherford Regional Hospital, Inc Of Weatherford

Critical Access Hospitals · Weatherford, OK
OwnershipGovernment - Hospital District or Authority
CMS Certification Number371323
Location3701 E MainWeatherford, OK 73096 · Custer County
Emergency services

Cordell Memorial Hospital

Critical Access Hospitals · Cordell, OK
OwnershipGovernment - Hospital District or Authority
CMS Certification Number371325
Location1220 North Glenn English StreetCordell, OK 73632 · Washita County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73644 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

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.

91.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality79.27
Promoting Interoperability100
Improvement Activities40

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 Jacob Jackson's NPI number?

The NPI number for Jacob Jackson is 1134629405. It was assigned to this individual provider in the NPPES registry on February 13, 2018.

Where is Jacob Jackson located?

Jacob Jackson practices at 1800 W 1st St Ste 105B, Elk City, OK 73644. The listed phone number is (580) 225-2518.

What is Jacob Jackson's specialty?

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

Is Jacob Jackson enrolled in Medicare?

Yes. Jacob 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 Jacob Jackson accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Medica and Mending Health list Jacob 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.

Is Jacob Jackson affiliated with any hospitals?

According to CMS data, Jacob Jackson is affiliated with Great Plains Regional Medical Center, Weatherford Regional Hospital, Inc Of Weatherford and Cordell Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Jacob Jackson was last updated on March 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.