JESSE RAE JACKSON FNP-C
NPI 1316663859
Nurse Practitioner - Family in Van Wert, OH

Q: What is Jesse Jackson's NPI number?

The NPI number for Jesse Jackson is 1316663859. It was assigned to this individual provider in the NPPES registry on October 17, 2022.

Q: What is Jesse Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jesse Jackson was last updated on March 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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 October 17, 2022PECOS EnrolledAccepts Medicare Assignment

88.31/100

CMS Quality Rating

214 TOWNE CENTER BLVD, VAN WERT, OH 45891(419) 605-0850 Get Directions Write a Review

NPPES record last updated: March 25, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Jesse Rae Jackson Fnp-c NPPES

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

JESSE RAE JACKSON FNP-C (NPI 1316663859) is an individual family provider in Van Wert, Ohio, licensed in Ohio (APRN.CNP.0032488) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS, is affiliated with Lima Memorial Health System, and is a graduate of University Of Cincinnati College Of Medicine (2022).

NPPES Registry Identity

NPI1316663859

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJESSE RAE JACKSONCredential: FNP-C

Location Address214 TOWNE CENTER BLVDVan Wert, OH 45891-9086

Mailing AddressPo Box 7527Dublin, OH 43017-0727

Phone(419) 605-0850

Sole ProprietorNo

Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2022

Enumeration DateOctober 17, 2022

Last NPPES UpdateMarch 25, 2024

NPPES CertifiedMarch 25, 2024

✔ NPI 1316663859 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.0032488

214 TOWNE CENTER BLVD, Van Wert, OH 45891

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

Jesse Rae Jackson Fnp-c 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 ID9638548001

PECOS Enrollment IDI20221206002746

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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

66 services39 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

41 services41 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

38 services18 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

17 services17 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lima Memorial Health System

Acute Care Hospitals · Lima, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360009

Location1001 Bellefontaine AvenueLima, OH 45804 · Allen County

Emergency services Birthing friendly

Mercy Health-St Rita's Medical Center

Acute Care Hospitals · Lima, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360066

Location730 West Market StreetLima, OH 45801 · Allen County

Emergency services Birthing friendly

Van Wert County Hospital

Acute Care Hospitals · Van Wert, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360071

Location1250 S Washington StreetVan Wert, OH 45891 · Van Wert County

Birthing friendly

Ohio State University State Health System

Acute Care Hospitals · Columbus, OH

4/5 CMS rating

OwnershipGovernment - State

CMS Certification Number360085

Location410 West 10th AvenueColumbus, OH 43210 · Franklin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45891 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

88.31/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

83.42

Promoting Interoperability

100

Improvement Activities

Cost

77.62

Other Providers at the Same Location NPPES 8

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

CODY JAMES KLINKER MD

Family Medicine