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JOAN MARIE JACKSON FNP
NPI 1225525454
Nurse Practitioner - Family in Fort Mill, SC

Active since April 13, 2018PECOS Enrolled
1201 CAROLNA PLACE DR STE 101, FORT MILL, SC 29708(803) 547-4922 Get Directions Write a Review

NPPES record last updated: April 2, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 2, 2026, Dec 18, 2019, Apr 13, 2018 (3 updates tracked since 2018).

About Joan Marie Jackson Fnp NPPES

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

JOAN MARIE JACKSON FNP (NPI 1225525454) is an individual family provider in Fort Mill, South Carolina, licensed in South Carolina (21635) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225525454
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJOAN MARIE JACKSONCredential: FNP
Location Address1201 CAROLNA PLACE DR STE 101Fort Mill, SC 29708-0015
Mailing Address101 Cabarrus Ave EConcord, NC 28025-3699 · (888) 849-7379 · Fax (855) 857-7333
Phone(803) 547-4922
Sole ProprietorNo
Enumeration DateApril 13, 2018
Last NPPES UpdateApril 2, 20263 updates tracked since enumeration
NPPES CertifiedApril 2, 2026
✔ NPI 1225525454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in SC · 21635✔ Licensed in NC · 5010445
1201 CAROLNA PLACE DR STE 101, Fort Mill, SC 29708
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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)

Joan Marie Jackson Fnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29708 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier18 claims18 services$36.90 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers16 claims16 services$15.65 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers16 claims16 services$77.42 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier58 claims58 services$18.64 avg. paid by Medicare
Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
1 supplier16 claims16 services$32.10 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier32 claims32 services$7.94 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Joan Jackson's NPI number?

The NPI number for Joan Jackson is 1225525454. It was assigned to this individual provider in the NPPES registry on April 13, 2018.

Where is Joan Jackson located?

Joan Jackson practices at 1201 Carolna Place Dr Ste 101, Fort Mill, SC 29708. The listed phone number is (803) 547-4922.

What is Joan Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Joan Jackson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Joan Jackson was last updated on April 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.