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AMANDA DEGNAN JACKSON
NPI 1295581486
Nurse Practitioner - Psychiatric/Mental Health in Southaven, MS

Active since April 29, 2024PECOS Enrolled
919 FERNCLIFF CV STE 1, SOUTHAVEN, MS 38671(662) 205-5045(844) 444-1263 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 12, 2026, May 6, 2025, Jul 23, 2024 and 1 more (4 updates tracked since 2024).

About Amanda Degnan Jackson NPPES

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

AMANDA DEGNAN JACKSON (NPI 1295581486) is an individual psychiatric/mental health provider in Southaven, Mississippi, licensed in Mississippi (906654) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1295581486
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameAMANDA DEGNAN JACKSON
Location Address919 FERNCLIFF CV STE 1Southaven, MS 38671-2402
Mailing Address919 Ferncliff Cv Ste 1Southaven, MS 38671-2402 · (662) 205-5045 · Fax (844) 444-1263
Phone(662) 205-5045
Fax(844) 444-1263
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateApril 29, 2024
Last NPPES UpdateJanuary 12, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2026
✔ NPI 1295581486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MS · 906654
919 FERNCLIFF CV STE 1, Southaven, MS 38671
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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)

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

PECOS PAC ID7517407257
PECOS Enrollment IDI20240910000258
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 Amanda Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tmk Enterprises
5.2 mi
Psychiatric/Mental Health
5699 GETWELL RD BLDG F4
Southaven, MS 38672
  • Reassigned Medicare billing, Mississippi enrollment
  • 10 clinicians in this Medicare group
NPI 1184251795 (662) 372-3495

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.

Other Providers at the Same Location NPPES

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

THE MENTAL DAY PLLC
Nurse Practitioner (Psychiatric/Mental Health)
919 FERNCLIFF CV STE 1
SOUTHAVEN, MS 38671
Desoto County (901) 297-9122

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 Amanda Jackson's NPI number?

The NPI number for Amanda Jackson is 1295581486. It was assigned to this individual provider in the NPPES registry on April 29, 2024.

Where is Amanda Jackson located?

Amanda Jackson practices at 919 Ferncliff Cv Ste 1, Southaven, MS 38671. The listed phone number is (662) 205-5045.

What is Amanda Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Amanda Jackson enrolled in Medicare?

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

Which organization bills Medicare for Amanda Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Jackson reassigns Medicare benefits to Tmk Enterprises (Southaven, MS). 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 Amanda Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amanda 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 Amanda 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 Amanda Jackson was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.