ARNICE JACKSON DNP
NPI 1154763126
Nurse Practitioner - Community Health in New York, NY

Q: What is Arnice Jackson's NPI number?

The NPI number for Arnice Jackson is 1154763126. It was assigned to this individual provider in the NPPES registry on July 19, 2013.

Q: What is Arnice Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Community Health, with taxonomy code 363LC1500X.

Q: When was this NPI record last updated?

The NPPES record for Arnice Jackson was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since July 19, 2013PECOS Enrolled

489 5TH AVE FL 3, NEW YORK, NY 10017(888) 663-6331(415) 252-7176 Get Directions Write a Review

NPPES record last updated: March 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 17, 2025, Apr 3, 2023, Oct 14, 2022 and 4 more (7 updates tracked since 2018).

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About Arnice Jackson Dnp NPPES

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

ARNICE JACKSON DNP (NPI 1154763126) is an individual community health provider in New York, New York, licensed in New York (320087) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154763126

Entity TypeIndividualFemale

Primary Taxonomy363LC1500X

Provider Legal NameARNICE JACKSONCredential: DNP

Location Address489 5TH AVE FL 3New York, NY 10017-6145

Mailing Address1 Embarcadero Ctr Ste 1900San Francisco, CA 94111-3723 · (415) 658-6791

Phone(888) 663-6331

Fax(415) 252-7176

Sole ProprietorYes

Enumeration DateJuly 19, 2013

Last NPPES UpdateMarch 17, 20257 updates tracked since enumeration

NPPES CertifiedMarch 17, 2025

✔ NPI 1154763126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Community HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LC1500X

License✔ Licensed in NY · 320087

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 084180-23 (NH), RN2351767 (MA)

Also ListedDoulaTaxonomy 374J00000X

489 5TH AVE FL 3, New York, NY 10017

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Arnice Jackson Dnp 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 Billing Reassignment

Medicare enrollment records show Arnice Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Planned Parenthood Hudson Peconic Inc.

42 mi

Ambulatory Family Planning Facility

70 MAPLE AVE
Smithtown, NY 11787

Reassigned Medicare billing, New York enrollment
65 clinicians in this Medicare group

NPI 1285701672 (631) 361-7526

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10017 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

$102.04 typical visit price

range $65.69 – $198.19

Typical copayment $25.51 (range $16.42 – $49.54)

Most-billed visit code 99203

Established Patient

$114.88 typical visit price

range $21.20 – $160.66

Typical copayment $28.72 (range $5.30 – $40.16)

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.

JOHN DUJMOVIC APRN

Nurse Practitioner