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 last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: November 01, 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 and is a graduate of Other (2026).

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
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Richard Jackson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9234697087
PECOS Enrollment IDI20260821001586
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.

Medicare Billing Reassignment

Medicare enrollment records show Richard Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
2420 LAKE AVE
Ashtabula, OH 44004
  • Reassigned Medicare billing, Ohio enrollment
  • 272 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Physician Assistant
1805 27TH ST
PORTSMOUTH, OH 45662
Pathology (Anatomic Pathology & Clinical Pathology)
1805 27TH ST
PORTSMOUTH, OH 45662
Emergency Medicine
1805 27TH ST
PORTSMOUTH, OH 45662
Radiology (Diagnostic Radiology)
1805 27TH ST
PORTSMOUTH, OH 45662
Radiology (Diagnostic Radiology)
1805 27TH ST
PORTSMOUTH, OH 45662
Physician Assistant
1805 27TH ST
PORTSMOUTH, OH 45662
Radiology (Diagnostic Radiology)
1805 27TH ST
PORTSMOUTH, OH 45662
Emergency Medicine
1805 27TH ST
PORTSMOUTH, OH 45662

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.

Which organization bills Medicare for Richard Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Richard Jackson reassigns Medicare benefits to Apogee Medical Group, Ohio, Inc. (Ashtabula, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Richard Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Richard Jackson accept?

Health plans from Molina Healthcare list Richard 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.

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 3 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.