CYNTHIA JACKSON PSYCH NP
NPI 1215022280
Nurse Practitioner - Psychiatric/Mental Health in Centennial, CO
About Cynthia Jackson Psych Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CYNTHIA JACKSON PSYCH NP (NPI 1215022280) is an individual psychiatric/mental health provider in Centennial, Colorado, licensed in Colorado (990052) and active in the NPI registry since October 2006. She has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Cynthia Jackson Psych Np has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2019 through April 1, 2027.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 80111 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CENTENNIAL, CO 80111
CENTENNIAL, CO 80111
CENTENNIAL, CO 80111
ENGLEWOOD, CO 80111
CENTENNIAL, CO 80111
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 Cynthia Jackson's NPI number?
The NPI number for Cynthia Jackson is 1215022280. It was assigned to this individual provider in the NPPES registry on October 4, 2006.
Where is Cynthia Jackson located?
Cynthia Jackson practices at 6093 S Quebec St Ste 100, Centennial, CO 80111. The listed phone number is (303) 770-6933.
What is Cynthia Jackson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Cynthia Jackson enrolled in Medicare?
No. Cynthia Jackson has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Cynthia Jackson was last updated on July 21, 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.
# Cynthia Jackson, PSYCH NP · NPI 1215022280
Psychiatric/Mental Health physician in Centennial, Colorado. Individual provider, active in the CMS NPPES registry since October 4, 2006.
## Identity
- **NPI:** 1215022280 (Entity type: Individual)
- **Enumerated:** October 4, 2006
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 990052 (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 6093 S QUEBEC ST STE 100, Centennial, CO 80111-4543
- **Phone:** (303) 770-6933
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through April 1, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** July 21, 2021
- **Other identifiers:** Medicaid 71671218 (CO)
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Source: [NPI Profile](https://npiprofile.com/npi/1215022280) · Data from the CMS NPPES public registry.