MRS. BERNICE JACKSON NP
NPI 1194493932
Nurse Practitioner - Psychiatric/Mental Health in Bay Shore, NY

Active since September 04, 2021PECOS Enrolled
212 5TH AVE, BAY SHORE, NY 11706(718) 299-7295 Get Directions Write a Review

NPPES record last updated: May 29, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 29, 2025, Mar 31, 2025, Jul 1, 2024 and 2 more (5 updates tracked since 2021).

About Mrs. Bernice Jackson Np NPPES

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

MRS. BERNICE JACKSON NP (NPI 1194493932) is an individual psychiatric/mental health provider in Bay Shore, New York, licensed in New York (405214) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194493932
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. BERNICE JACKSONCredential: NP
Location Address212 5TH AVEBay Shore, NY 11706-6408
Mailing Address680 Route 211 E Ste 3b367Middletown, NY 10941-1757 · (914) 882-0618 · Fax (914) 919-1092
Sole ProprietorNo
Enumeration DateSeptember 4, 2021
Last NPPES UpdateMay 29, 20255 updates tracked since enumeration
NPPES CertifiedMay 29, 2025
NPI 1194493932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in NY · 405214
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 310387 (NY)
212 5TH AVE, Bay Shore, NY 11706

Other Names 1

Former Name (1)Bernice Butts Np

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)

Mrs. Bernice Jackson Np 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.

Areas of Expertise CMS Part B claims 7

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.

Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
68 services65 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
48 services47 patients
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.
35 services35 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
28 services28 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.
20 services19 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11706 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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 5

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

Psychiatry & Neurology (Psychiatry)
212 5TH AVE
BAY SHORE, NY 11706
Nurse Practitioner (Psychiatric/Mental Health)
212 5TH AVE
BAY SHORE, NY 11706
Nurse Practitioner (Psychiatric/Mental Health)
212 5TH AVE
BAY SHORE, NY 11706
Nurse Practitioner (Psychiatric/Mental Health)
212 5TH AVE
BAY SHORE, NY 11706
Psychiatry & Neurology (Psychiatry)
212 5TH AVE
BAY SHORE, NY 11706

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 Bernice Jackson's NPI number?

The NPI number for Bernice Jackson is 1194493932. It was assigned to this individual provider in the NPPES registry on September 4, 2021. The provider is also known as Bernice Butts Np.

Where is Bernice Jackson located?

Bernice Jackson practices at 212 5th Ave, Bay Shore, NY 11706. The listed phone number is (718) 299-7295.

What is Bernice Jackson's specialty?

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

Is Bernice Jackson enrolled in Medicare?

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

What insurance does Bernice Jackson accept?

Health plans from Providence Health Plan list Bernice 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 Bernice Jackson was last updated on May 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.