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NATHAN LOWELL JACKSON DPM
NPI 1205639713
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Active since March 31, 2025PECOS Enrolled
8414 NAAB RD STE 215, INDIANAPOLIS, IN 46260(317) 338-7510(317) 338-7934 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nathan Lowell Jackson Dpm NPPES

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

NATHAN LOWELL JACKSON DPM (NPI 1205639713) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205639713
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameNATHAN LOWELL JACKSONCredential: DPM
Location Address8414 NAAB RD STE 215Indianapolis, IN 46260-1972
Mailing Address8414 Naab Rd Ste 215Indianapolis, IN 46260-1972 · (317) 338-7510 · Fax (317) 338-7934
Phone(317) 338-7510
Fax(317) 338-7934
Sole ProprietorNo
Enumeration DateMarch 31, 2025
NPPES CertifiedMarch 30, 2025
✔ NPI 1205639713 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.
8414 NAAB RD STE 215, Indianapolis, IN 46260
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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)

Nathan Lowell Jackson Dpm 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 15

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

JOSEPH ALTEPETER
Podiatrist (Foot & Ankle Surgery)
8414 NAAB RD STE 215
INDIANAPOLIS, IN 46260
Marion County (317) 338-7510
SAHIL AMIN DPM
Student in an Organized Health Care Education/Training Program
8414 NAAB RD STE 215
INDIANAPOLIS, IN 46260
Marion County (317) 338-7510
RACHEL DOBROZSI DPM
Student in an Organized Health Care Education/Training Program
8414 NAAB RD STE 215
INDIANAPOLIS, IN 46260
Marion County (317) 338-7510
ALLYSON WILL DPM
Student in an Organized Health Care Education/Training Program
8414 NAAB RD STE 215
INDIANAPOLIS, IN 46260
Marion County (317) 338-7510
ELYSE HOY
Student in an Organized Health Care Education/Training Program
8414 NAAB RD STE 215
INDIANAPOLIS, IN 46260
Marion County (847) 578-3000
KATHRYN LEIGH CLAXTON DO
Student in an Organized Health Care Education/Training Program
8414 NAAB RD STE 215
INDIANAPOLIS, IN 46260
Marion County (317) 338-7510
ANOOP AGRAWAL MD
Student in an Organized Health Care Education/Training Program
8414 NAAB RD STE 215
INDIANAPOLIS, IN 46260
Marion County (317) 338-7510
KATHERINE MAGDALENA POWELL DO
Student in an Organized Health Care Education/Training Program
8414 NAAB RD STE 215
INDIANAPOLIS, IN 46260
Marion County (317) 338-7510

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 Nathan Jackson's NPI number?

The NPI number for Nathan Jackson is 1205639713. It was assigned to this individual provider in the NPPES registry on March 31, 2025.

Where is Nathan Jackson located?

Nathan Jackson practices at 8414 Naab Rd Ste 215, Indianapolis, IN 46260. The listed phone number is (317) 338-7510.

What is Nathan Jackson's specialty?

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

Is Nathan Jackson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Nathan Jackson was last updated on March 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.