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MICHELLE CHRISTINE JACKSON ARNP
NPI 1215558937
Nurse Practitioner in Bonney Lake, WA

Active since May 05, 2020PECOS EnrolledAccepts Medicare Assignment
9550 195TH AVE E, BONNEY LAKE, WA 98391(253) 447-3400 Get Directions Write a Review

NPPES record last updated: April 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 11, 2022, Jun 3, 2021, Aug 19, 2020 and 1 more (4 updates tracked since 2020).

About Michelle Christine Jackson Arnp NPPES

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

MICHELLE CHRISTINE JACKSON ARNP (NPI 1215558937) is an individual nurse practitioner in Bonney Lake, Washington, licensed in Washington (AP61083974) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, is affiliated with Multicare Good Samaritan Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1215558937
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMICHELLE CHRISTINE JACKSONCredential: ARNP
Location Address9550 195TH AVE EBonney Lake, WA 98391-5969
Mailing AddressPo Box 73939Puyallup, WA 98373-0939 · (253) 720-4642
Phone(253) 447-3400
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMay 5, 2020
Last NPPES UpdateApril 11, 20224 updates tracked since enumeration
NPPES CertifiedApril 11, 2022
✔ NPI 1215558937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in WA · AP61083974
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
9550 195TH AVE E, Bonney Lake, WA 98391
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Other Names 1

Former Name (1)Michelle Ball Arnp

Secondary Practice Locations 3

Location 1400 S 43rd StRenton, WA 98055-5714 · Phone (425) 228-3440
Location 22505 S 38th St Ste 109Tacoma, WA 98409-7372 · Phone (253) 274-3947
Location 36420 Tacoma Mall BlvdTacoma, WA 98409-6722 · Phone (253) 271-9320

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Michelle Christine Jackson Arnp 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 ID7416350145
PECOS Enrollment IDI20210719003120
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 8

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
71 services70 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
55 services55 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
33 services32 patients
Electrocardiogram (ecg) 1 to 3 leads with review by physician only 93042
An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. 1 to 3 leads or sensors are placed on your body to capture this data. A physician then reviews the results to evaluate your heart's health.
25 services25 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
15 services15 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
14 services13 patients

Hospital Affiliations CMS Care Compare

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

Multicare Good Samaritan Hospital

Acute Care Hospitals · Puyallup, WA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500079
Location401 15th Avenue SEPuyallup, WA 98372 · Pierce County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98391 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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 3

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

MIRIAM VOELLGER RN
Registered Nurse
9550 195TH AVE E
BONNEY LAKE, WA 98391
Pierce County (253) 447-3405
MRS. MELISSA LEWIS RN
Registered Nurse (Emergency)
9550 195TH AVE E
BONNEY LAKE, WA 98391
Pierce County (253) 447-3400
SHAWNA LAGASSE RN
Registered Nurse
9550 195TH AVE E
BONNEY LAKE, WA 98391
Pierce County (253) 447-3400

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 Michelle Jackson's NPI number?

The NPI number for Michelle Jackson is 1215558937. It was assigned to this individual provider in the NPPES registry on May 5, 2020. The provider is also known as Michelle Ball Arnp.

Where is Michelle Jackson located?

Michelle Jackson practices at 9550 195th Ave E, Bonney Lake, WA 98391. The listed phone number is (253) 447-3400.

What is Michelle Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Michelle Jackson enrolled in Medicare?

Yes. Michelle Jackson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Michelle Jackson accept?

Health plans from Providence Health Plan list Michelle 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.

Is Michelle Jackson affiliated with any hospitals?

According to CMS data, Michelle Jackson is affiliated with Multicare Good Samaritan Hospital.

When was this NPI record last updated?

The NPPES record for Michelle Jackson was last updated on April 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.