1. Home
  2. Directory
  3. Rhode Island
  4. Warwick
  5. Nurse Practitioner
  6. NPI Profile

REBECCA L JACKSON N.P.
NPI 1154747103
Nurse Practitioner - Adult Health in Warwick, RI

Active since March 14, 2014PECOS Enrolled
475 KILVERT ST STE 300, WARWICK, RI 02886(401) 737-6900 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Rebecca L Jackson N.p. NPPES

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

REBECCA L JACKSON N.P. (NPI 1154747103) is an individual adult health provider in Warwick, Rhode Island, licensed in Rhode Island (CAPRN01179) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154747103
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameREBECCA L JACKSONCredential: N.P.
Location Address475 KILVERT ST STE 300Warwick, RI 02886-1360
Mailing Address863 River AveProvidence, RI 02908-1424 · (857) 939-9274
Phone(401) 737-6900
Sole ProprietorNo
Enumeration DateMarch 14, 2014
Last NPPES UpdateJuly 6, 2026
NPPES CertifiedJuly 6, 2026
✔ NPI 1154747103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in RI · CAPRN01179
475 KILVERT ST STE 300, Warwick, RI 02886
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rebecca L Jackson N.p. 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 02886 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
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.

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 Rebecca Jackson's NPI number?

The NPI number for Rebecca Jackson is 1154747103. It was assigned to this individual provider in the NPPES registry on March 14, 2014.

Where is Rebecca Jackson located?

Rebecca Jackson practices at 475 Kilvert St Ste 300, Warwick, RI 02886. The listed phone number is (401) 737-6900.

What is Rebecca Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Rebecca Jackson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Rebecca Jackson was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.