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

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: July 26, 2026.

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
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

Secondary Practice Location 1

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

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 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.

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.

Radiology (Diagnostic Radiology)
110 N MAIN ST
GREENVILLE, PA 16125
Radiology (Diagnostic Radiology)
110 N MAIN ST
GREENVILLE, PA 16125
Nurse Anesthetist, Certified Registered
110 N MAIN ST
GREENVILLE, PA 16125
Physician Assistant
110 N MAIN ST, 7 SOUTH
GREENVILLE, PA 16125
Rehabilitation Unit
110 N MAIN ST
GREENVILLE, PA 16125
Occupational Therapist
110 N MAIN ST
GREENVILLE, PA 16125
Physical Therapist
110 N MAIN ST
GREENVILLE, PA 16125
General Acute Care Hospital
110 N MAIN ST
GREENVILLE, PA 16125

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.

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 with the weekly NPPES data releases published by CMS.