SUSAN S JACKSON CRNP
NPI 1174827406
Nurse Practitioner in Greenville, PA

Q: What is Susan Jackson's NPI number?

The NPI number for Susan Jackson is 1174827406. It was assigned to this individual provider in the NPPES registry on December 30, 2010.

Q: What is Susan Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Susan Jackson was last updated on September 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 December 30, 2010PECOS EnrolledAccepts Medicare Assignment

110 N MAIN ST, GREENVILLE, PA 16125(724) 589-1616 Get Directions Write a Review

NPPES record last updated: September 20, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Susan S Jackson Crnp NPPES

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

SUSAN S JACKSON CRNP (NPI 1174827406) is an individual nurse practitioner in Greenville, Pennsylvania, licensed in Pennsylvania (SP011073) and active in the NPI registry since December 2010. She is enrolled in Medicare PECOS, maintains a secondary practice location in New Castle, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1174827406

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSUSAN S JACKSONCredential: CRNP

Location Address110 N MAIN STGreenville, PA 16125-1726

Mailing Address200 Lothrop St, Forbes Tower, Suite 9055Pittsburgh, PA 15213-2536 · (412) 647-3087

Phone(724) 589-1616

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateDecember 30, 2010

Last NPPES UpdateSeptember 20, 2024

NPPES CertifiedSeptember 20, 2024

✔ NPI 1174827406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in PA · SP011073

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

110 N MAIN ST, Greenville, PA 16125

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Secondary Practice Location 1

Location 12411 Wilmington RdNew Castle, PA 16105-1938 · Phone (724) 656-4320

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Susan S Jackson Crnp 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 ID8921280413

PECOS Enrollment IDI20110304000049

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 Reassignments

Medicare enrollment records show Susan Jackson reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medexpress Urgent Care, PC-Pennsylvania

13 mi

Urgent Care

1729 E STATE ST
Hermitage, PA 16148

Reassigned Medicare billing, Pennsylvania enrollment
214 clinicians in this Medicare group

NPI 1124318043 (724) 347-2083

Mahoning Valley Emergency Specialists LLC

24 mi

Emergency Medicine

1044 BELMONT AVE
Youngstown, OH 44504

Reassigned Medicare billing, Ohio enrollment
129 clinicians in this Medicare group

NPI 1003869652 (844) 474-4019

Mves Austintown LLC

29 mi

Emergency Medicine

6252 MAHONING AVE
Austintown, OH 44515

Reassigned Medicare billing, Ohio enrollment
146 clinicians in this Medicare group

NPI 1972555944 (844) 474-4019

Mves Boardman LLC

32 mi

Emergency Medicine

8401 MARKET ST
Youngstown, OH 44512

Reassigned Medicare billing, Ohio enrollment
146 clinicians in this Medicare group

NPI 1205888237 (844) 474-4019

Ucmg LLC

61 mi

Urgent Care

4655 WILLIAM FLYNN HWY STE 110
Allison Park, PA 15101

Reassigned Medicare billing, Pennsylvania enrollment
190 clinicians in this Medicare group

NPI 1972300622 (412) 486-3027

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

Areas of Expertise CMS Part B claims 10

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

118 services99 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

78 services78 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

52 services24 patients

Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811

This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.

50 services44 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

35 services27 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

29 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16125 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

RONALD P BRENNAN MD

Radiology (Diagnostic Radiology)

110 N MAIN ST
GREENVILLE, PA 16125

Mercer County (724) 588-2100

MATTHEW T BEE MD

Radiology (Diagnostic Radiology)

110 N MAIN ST
GREENVILLE, PA 16125

Mercer County (724) 588-2100

DIANE A COLLINS CRNA

Nurse Anesthetist, Certified Registered

110 N MAIN ST
GREENVILLE, PA 16125

Mercer County (724) 588-2100

MARIA CHAVARA

Physician Assistant

110 N MAIN ST, 7 SOUTH
GREENVILLE, PA 16125

Mercer County (724) 589-6161

UPMC HORIZON

Rehabilitation Unit

110 N MAIN ST
GREENVILLE, PA 16125

Mercer County (412) 432-5500

GERALYN WALLACE

Occupational Therapist

110 N MAIN ST
GREENVILLE, PA 16125

Mercer County (724) 588-2100

LISA MARIE ORLANDI

Physical Therapist

110 N MAIN ST
GREENVILLE, PA 16125

Mercer County (724) 589-6287

UPMC HORIZON

General Acute Care Hospital

110 N MAIN ST
GREENVILLE, PA 16125

Mercer County (412) 432-5500

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 Susan Jackson's NPI number?

The NPI number for Susan Jackson is 1174827406. It was assigned to this individual provider in the NPPES registry on December 30, 2010.

Where is Susan Jackson located?

Susan Jackson practices at 110 N Main St, Greenville, PA 16125. The listed phone number is (724) 589-1616.

What is Susan Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Susan Jackson enrolled in Medicare?

Yes. Susan 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.

Which organizations bill Medicare for Susan Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Jackson reassigns Medicare benefits to 5 organizations: Medexpress Urgent Care, PC-Pennsylvania (Hermitage, PA), Mahoning Valley Emergency Specialists LLC (Youngstown, OH), Mves Austintown LLC (Austintown, OH), Mves Boardman LLC (Youngstown, OH) and Ucmg LLC (Allison Park, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Susan Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Susan Jackson accept?

Health plans from CareSource list Susan 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.

When was this NPI record last updated?

The NPPES record for Susan Jackson was last updated on September 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.