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DR. JACKSON RUSSELL MIERL MD
NPI 1184352445
Student in an Organized Health Care Education/Training Program in New Orleans, LA

Active since August 12, 2022PECOS Enrolled
1931 S CARROLLTON AVE, NEW ORLEANS, LA 70118(985) 705-0190 Get Directions Write a Review

NPPES record last updated: March 23, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 23, 2023, Aug 12, 2022 (2 updates tracked since 2022).

About Dr. Jackson Russell Mierl Md NPPES

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

DR. JACKSON RUSSELL MIERL MD (NPI 1184352445) is an individual student in an organized health care education/training program in New Orleans, Louisiana and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184352445
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. JACKSON RUSSELL MIERLCredential: MD
Location Address1931 S CARROLLTON AVENew Orleans, LA 70118-2946
Mailing Address1931 S Carrollton AveNew Orleans, LA 70118-2946 · (985) 705-0190
Phone(985) 705-0190
Sole ProprietorNo
Enumeration DateAugust 12, 2022
Last NPPES UpdateMarch 23, 20232 updates tracked since enumeration
NPPES CertifiedMarch 23, 2023
✔ NPI 1184352445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1931 S CARROLLTON AVE, New Orleans, LA 70118
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jackson Russell Mierl Md 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.

Other Providers at the Same Location NPPES

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

DR. CARTER LOUIS PESSON MD, MPH
Student in an Organized Health Care Education/Training Program
1931 S CARROLLTON AVE
NEW ORLEANS, LA 70118
Orleans Parish (337) 577-6050

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 Mierl's NPI number?

The NPI number for Jackson Mierl is 1184352445. It was assigned to this individual provider in the NPPES registry on August 12, 2022.

Where is Jackson Mierl located?

Jackson Mierl practices at 1931 S Carrollton Ave, New Orleans, LA 70118. The listed phone number is (985) 705-0190.

What is Jackson Mierl's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jackson Mierl enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jackson Mierl was last updated on March 23, 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.