JACKSON NORRIS PMHNP
NPI 1174205876
Nurse Practitioner - Psychiatric/Mental Health in Urbana, MO

Active since August 02, 2023PECOS Enrolled
406 S DALLAS ST, URBANA, MO 65767(417) 993-1002 Get Directions Write a Review

NPPES record last updated: August 2, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jackson Norris Pmhnp NPPES

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

JACKSON NORRIS PMHNP (NPI 1174205876) is an individual psychiatric/mental health provider in Urbana, Missouri, licensed in Missouri (2023088856) and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Hermitage.

NPPES Registry Identity

NPI1174205876
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameJACKSON NORRISCredential: PMHNP
Location Address406 S DALLAS STUrbana, MO 65767-9144
Mailing AddressPo Box 125Hermitage, MO 65668-0125 · (417) 745-0103
Sole ProprietorNo
Enumeration DateAugust 2, 2023
NPPES CertifiedAugust 2, 2023
NPI 1174205876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in MO · 2023088856
406 S DALLAS ST, Urbana, MO 65767

Secondary Practice Location 1

Location 118614 Jackson StHermitage, MO 65668-8204 · Phone (417) 745-2121

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 (PECOS)

Jackson Norris Pmhnp 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 65767 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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 3

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

Counselor (Professional)
406 S DALLAS ST
URBANA, MO 65767
Clinic/Center (Federally Qualified Health Center (FQHC))
406 S DALLAS ST
URBANA, MO 65767
Social Worker (Clinical)
406 S DALLAS ST
URBANA, MO 65767

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 Jackson Norris's NPI number?

The NPI number for Jackson Norris is 1174205876. It was assigned to this individual provider in the NPPES registry on August 2, 2023.

Where is Jackson Norris located?

Jackson Norris practices at 406 S Dallas St, Urbana, MO 65767. The listed phone number is (417) 993-1002.

What is Jackson Norris's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jackson Norris enrolled in Medicare?

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

What insurance does Jackson Norris 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 5 other insurers list Jackson Norris 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 Jackson Norris was last updated on August 2, 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.