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MICHELLE JACKSON NP
NPI 1306663711
Nurse Practitioner - Psychiatric/Mental Health in Greenville, RI

Active since September 25, 2024PECOS EnrolledAccepts Medicare Assignment
31 GREENLAKE DR, GREENVILLE, RI 02828(401) 226-7032(401) 934-1011 Get Directions Write a Review

NPPES record last updated: April 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michelle Jackson Np NPPES

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

MICHELLE JACKSON NP (NPI 1306663711) is an individual psychiatric/mental health provider in Greenville, Rhode Island, licensed in Rhode Island (APRN04220) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1306663711
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMICHELLE JACKSONCredential: NP
Location Address31 GREENLAKE DRGreenville, RI 02828-3101
Mailing Address31 Greenlake DrGreenville, RI 02828-3101 · (401) 226-7032 · Fax (401) 934-1011
Phone(401) 226-7032
Fax(401) 934-1011
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 25, 2024
Last NPPES UpdateApril 14, 2025
NPPES CertifiedApril 14, 2025
✔ NPI 1306663711 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 RI · APRN04220
31 GREENLAKE DR, Greenville, RI 02828
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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 and accepts Medicare assignment

Michelle Jackson Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840720066
PECOS Enrollment IDI20250204000148
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 02828 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
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.

ME RHODE ISLAND LLC
Nurse Practitioner (Psychiatric/Mental Health)
31 GREENLAKE DR
GREENVILLE, RI 02828
Providence County (401) 226-7032

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 Michelle Jackson's NPI number?

The NPI number for Michelle Jackson is 1306663711. It was assigned to this individual provider in the NPPES registry on September 25, 2024.

Where is Michelle Jackson located?

Michelle Jackson practices at 31 Greenlake Dr, Greenville, RI 02828. The listed phone number is (401) 226-7032.

What is Michelle Jackson's specialty?

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

Is Michelle Jackson enrolled in Medicare?

Yes. Michelle Jackson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Michelle Jackson was last updated on April 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.