MADYSON NOELLE JACKSON
NPI 1275272890
Case Manager/Care Coordinator in Oklahoma City, OK

Q: What is Madyson Jackson's NPI number?

The NPI number for Madyson Jackson is 1275272890. It was assigned to this individual provider in the NPPES registry on June 1, 2022. The provider is also known as Madyson Noelle Crain Cm II.

Q: What is Madyson Jackson's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Madyson Jackson was last updated on July 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since June 01, 2022

4130 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105(054) 267-3214 Get Directions Write a Review

NPPES record last updated: July 25, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Madyson Noelle Jackson NPPES

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

MADYSON NOELLE JACKSON (NPI 1275272890) is an individual case manager/care coordinator provider in Oklahoma City, Oklahoma, licensed in Oklahoma (316791) and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1275272890

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameMADYSON NOELLE JACKSON

Location Address4130 N LINCOLN BLVDOklahoma City, OK 73105

Mailing Address11700 S. Pine StreetGuthrie, OK 73044 · (580) 302-3300

Phone(054) 267-3214

Sole ProprietorNo

Enumeration DateJune 1, 2022

Last NPPES UpdateJuly 25, 2025

NPPES CertifiedJuly 25, 2025

✔ NPI 1275272890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

License✔ Licensed in OK · 316791

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

4130 N LINCOLN BLVD, Oklahoma City, OK 73105

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Other Names 1

Former Name (1)Madyson Noelle Crain Cm Ii

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.

ROMAS C ROBERSON

Counselor (Mental Health)