JESSE RAE JACKSON FNP-C
NPI 1316663859
Nurse Practitioner - Family in Van Wert, OH
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
3Medicare enrollment records show Jesse Jackson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Van Wert, OH 45891
- Reassigned Medicare billing, Ohio enrollment
- 19 clinicians in this Medicare group
Columbus, OH 43214
- Reassigned Medicare billing, Ohio enrollment
- 3,314 clinicians in this Medicare group
Cincinnati, OH 45219
- Reassigned Medicare billing, Ohio enrollment
- 96 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, OHMercy Health-St Rita's Medical Center
Acute Care Hospitals · Lima, OHVan Wert County Hospital
Acute Care Hospitals · Van Wert, OHOhio State University State Health System
Acute Care Hospitals · Columbus, OHPhysician 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.
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.
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.
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 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.
Where is Jesse Jackson located?
Jesse Jackson practices at 214 Towne Center Blvd, Van Wert, OH 45891. The listed phone number is (419) 605-0850.
What is Jesse Jackson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jesse Jackson enrolled in Medicare?
Yes. Jesse 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.
Which organizations bill Medicare for Jesse Jackson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jesse Jackson reassigns Medicare benefits to 3 organizations: Van Wert County Hospital Association (Van Wert, OH), Ohiohealth Corporation (Columbus, OH) and Gcga Physicians Inc. (Cincinnati, OH). 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 Jesse Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jesse Jackson accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and MedMutual list Jesse 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.
Is Jesse Jackson affiliated with any hospitals?
According to CMS data, Jesse Jackson is affiliated with Lima Memorial Health System, Mercy Health-St Rita's Medical Center, Van Wert County Hospital and Ohio State University State Health System.
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.
# Jesse Rae Jackson, FNP-C · NPI 1316663859
Family physician in Van Wert, Ohio. Individual provider, active in the CMS NPPES registry since October 17, 2022.
## Identity
- **NPI:** 1316663859 (Entity type: Individual)
- **Enumerated:** October 17, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APRN.CNP.0032488 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 214 TOWNE CENTER BLVD, Van Wert, OH 45891-9086
- **Phone:** (419) 605-0850
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Van Wert County Hospital Association (NPI 1245857804, Van Wert, OH); Ohiohealth Corporation (NPI 1194979526, Columbus, OH); Gcga Physicians Inc. (NPI 1790851095, Cincinnati, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Cincinnati College Of Medicine, class of 2022
## Record status
- **NPPES last updated:** March 25, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1316663859) · Data from the CMS NPPES public registry.