MS. ELIZABETH ANN JACKSON APRN-CNS
NPI 1184121907
Clinical Nurse Specialist - Acute Care in Oklahoma City, OK

Q: What is Elizabeth Jackson's NPI number?

The NPI number for Elizabeth Jackson is 1184121907. It was assigned to this individual provider in the NPPES registry on April 9, 2018.

Q: What is Elizabeth Jackson's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Acute Care, with taxonomy code 364SA2100X.

Q: When was this NPI record last updated?

The NPPES record for Elizabeth Jackson was last updated on June 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 April 09, 2018PECOS EnrolledAccepts Medicare Assignment

3400 NW EXPRESSWAY STE 200, OKLAHOMA CITY, OK 73112(405) 713-9900 Get Directions Write a Review

NPPES record last updated: June 2, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 2, 2021, Jan 5, 2020, Apr 9, 2018 (3 updates tracked since 2018).

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About Ms. Elizabeth Ann Jackson Aprn-cns NPPES

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

MS. ELIZABETH ANN JACKSON APRN-CNS (NPI 1184121907) is an individual acute care provider in Oklahoma City, Oklahoma, licensed in Oklahoma (00085963) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with O U Medical Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1184121907

Entity TypeIndividualFemale

Primary Taxonomy364SA2100X

Provider Legal NameMS. ELIZABETH ANN JACKSONCredential: APRN-CNS

Location Address3400 NW EXPRESSWAY STE 200Oklahoma City, OK 73112-4491

Mailing Address5300 N Independence Ave Ste 280Oklahoma City, OK 73112-5555 · (405) 713-9900 · Fax (405) 713-9920

Phone(405) 713-9900

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateApril 9, 2018

Last NPPES UpdateJune 2, 20213 updates tracked since enumeration

NPPES CertifiedMay 12, 2021

✔ NPI 1184121907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical Nurse Specialist · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code364SA2100X

License✔ Licensed in OK · 00085963

Also ListedClinical Nurse SpecialistTaxonomy 364S00000X · License 00085963 (OK)

3400 NW EXPRESSWAY STE 200, Oklahoma City, OK 73112

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Mending Health.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

Ms. Elizabeth Ann Jackson Aprn-cns 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 ID4284068529

PECOS Enrollment IDI20241016001624

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

O U Medical Center

Acute Care Hospitals · Oklahoma City, OK

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number370093

Location700 NE 13th StreetOklahoma City, OK 73104 · Oklahoma County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73112 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

$123.06 typical visit price

range $53.00 – $162.61

Typical copayment $30.76 (range $13.25 – $40.65)

Most-billed visit code 99204

Established Patient

$94.27 typical visit price

range $16.68 – $132.40

Typical copayment $23.56 (range $4.17 – $33.10)

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 10

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

NICHOLAS JAMES SHELBURNE M.D.

Internal Medicine (Pulmonary Disease)