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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ALEXIS NICOLE JACKSON DNP, APRN, FNP-BC
NPI 1265366579
Nurse Practitioner in Southaven, MS

Active since June 11, 2026PECOS Enrolled
7900 AIRWAYS BLVD BLDG C4, SOUTHAVEN, MS 38671(662) 404-8630(662) 404-8631 Get Directions Write a Review

NPPES record last updated: September 30, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Alexis Nicole Jackson Dnp, Aprn, Fnp-bc NPPES

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

ALEXIS NICOLE JACKSON DNP, APRN, FNP-BC (NPI 1265366579) is an individual nurse practitioner in Southaven, Mississippi, licensed in Mississippi (908482) and active in the NPI registry since June 2026. She is enrolled in Medicare PECOS, maintains a secondary practice location in Hernando, and is a graduate of Baylor College Of Medicine (2026).

NPPES Registry Identity

NPI1265366579
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameALEXIS NICOLE JACKSONCredential: DNP, APRN, FNP-BC
Location Address7900 AIRWAYS BLVD BLDG C4Southaven, MS 38671-4114
Mailing AddressPo Box 649113Dallas, TX 75264-9113 · (662) 404-8630 · Fax (662) 404-8631
Phone(662) 404-8630
Fax(662) 404-8631
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 2026
Enumeration DateJune 11, 2026
Last NPPES UpdateSeptember 30, 2026
NPPES CertifiedSeptember 30, 2026
✔ NPI 1265366579 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 MS · 908482
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.
7900 AIRWAYS BLVD BLDG C4, Southaven, MS 38671
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Secondary Practice Location 1

Location 11250 E Commerce StHernando, MS 38632-2456 · Phone (662) 298-2238

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexis Nicole Jackson Dnp, Aprn, Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1658836036
PECOS Enrollment IDI20260717000100
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 Reassignments

2

Medicare enrollment records show Alexis Jackson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Redmed, LLC
73 mi
Urgent Care
12 BROOKS XING
Pontotoc, MS 38863
  • Reassigned Medicare billing, Mississippi enrollment
  • 118 clinicians in this Medicare group
NPI 1437589157 (662) 489-4044
Physicians Urgent Care Of Corinth, LLC
84 mi
General Practice
2601 GETWELL RD STE 1
Corinth, MS 38834
  • Reassigned Medicare billing, Mississippi enrollment
  • 55 clinicians in this Medicare group
NPI 1316059405 (662) 287-7138

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 38671 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

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 Alexis Jackson's NPI number?

The NPI number for Alexis Jackson is 1265366579. It was assigned to this individual provider in the NPPES registry on June 11, 2026.

Where is Alexis Jackson located?

Alexis Jackson practices at 7900 Airways Blvd Bldg C4, Southaven, MS 38671. The listed phone number is (662) 404-8630.

What is Alexis Jackson's specialty?

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

Is Alexis Jackson enrolled in Medicare?

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

Which organizations bill Medicare for Alexis Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexis Jackson reassigns Medicare benefits to 2 organizations: Redmed, LLC (Pontotoc, MS) and Physicians Urgent Care Of Corinth, LLC (Corinth, MS). Each 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 Alexis Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alexis Jackson accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Alexis 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 Alexis Jackson was last updated on September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.