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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

RICHARD JACKSON
NPI 1265351118
Nurse Practitioner - Family in Portsmouth, OH

Active since July 14, 2026PECOS Enrolled
1805 27TH ST, PORTSMOUTH, OH 45662(740) 356-5000 Get Directions Write a Review

NPPES record added: July 14, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Richard Jackson NPPES

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

RICHARD JACKSON (NPI 1265351118) is an individual family provider in Portsmouth, Ohio, licensed in Ohio (APRN.CNP.0042669) and active in the NPI registry since July 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265351118
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameRICHARD JACKSON
Location Address1805 27TH STPortsmouth, OH 45662-2640
Mailing Address3109 Fields CtPortsmouth, OH 45662-2459
Phone(740) 356-5000
Sole ProprietorNo
Enumeration DateJuly 14, 2026
NPPES CertifiedJuly 14, 2026
✔ NPI 1265351118 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
License✔ Licensed in OH · APRN.CNP.0042669
1805 27TH ST, Portsmouth, OH 45662
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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)

Richard Jackson 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 45662 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 20

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

JEANNA M HULL PA-C
Physician Assistant
1805 27TH ST
PORTSMOUTH, OH 45662
Scioto County (740) 356-8310
DR. SHAYNA B. TOMCHIN MD
Pathology (Anatomic Pathology & Clinical Pathology)
1805 27TH ST
PORTSMOUTH, OH 45662
Scioto County (740) 356-8280
DR. MATTHEW RAY HARCHA D.O
Emergency Medicine
1805 27TH ST
PORTSMOUTH, OH 45662
Scioto County (740) 356-5000
LORETTA A SETTONNI MD
Radiology (Diagnostic Radiology)
1805 27TH ST
PORTSMOUTH, OH 45662
Scioto County (740) 356-8117
DR. RAMEZ A MALATY M.D.
Radiology (Diagnostic Radiology)
1805 27TH ST
PORTSMOUTH, OH 45662
Scioto County (740) 356-8681
JOSHUA BOMMELJE PA-C
Physician Assistant
1805 27TH ST
PORTSMOUTH, OH 45662
Scioto County (740) 356-5000
DUSTIN LEE JOHNSON MD
Radiology (Diagnostic Radiology)
1805 27TH ST
PORTSMOUTH, OH 45662
Scioto County (740) 356-5000
DR. MEGHAN KELLY MCCORMICK D.O.
Emergency Medicine
1805 27TH ST
PORTSMOUTH, OH 45662
Scioto County (740) 356-5000

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 Richard Jackson's NPI number?

The NPI number for Richard Jackson is 1265351118. It was assigned to this individual provider in the NPPES registry on July 14, 2026.

Where is Richard Jackson located?

Richard Jackson practices at 1805 27th St, Portsmouth, OH 45662. The listed phone number is (740) 356-5000.

What is Richard Jackson's specialty?

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

Is Richard Jackson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Richard Jackson was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.