MS. EBONY L. JACKSON
NPI 1326362666
Case Manager/Care Coordinator in Indianapolis, IN

Q: What is Ebony Jackson's NPI number?

The NPI number for Ebony Jackson is 1326362666. It was assigned to this individual provider in the NPPES registry on March 16, 2010.

Q: What is Ebony 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 Ebony Jackson was last updated on March 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 March 16, 2010PECOS Enrolled

26 N ARSENAL AVE, INDIANAPOLIS, IN 46201(317) 632-0123(317) 632-4362 Get Directions Write a Review

NPPES record last updated: March 8, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Ms. Ebony L. Jackson NPPES

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

MS. EBONY L. JACKSON (NPI 1326362666) is an individual case manager/care coordinator provider in Indianapolis, Indiana and active in the NPI registry since March 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1326362666

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameMS. EBONY L. JACKSON

Location Address26 N ARSENAL AVEIndianapolis, IN 46201-3808

Mailing Address26 N Arsenal AveIndianapolis, IN 46201-3808 · (317) 632-0123 · Fax (317) 632-4362

Phone(317) 632-0123

Fax(317) 632-4362

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateMarch 16, 2010

Last NPPES UpdateMarch 8, 2011

✔ NPI 1326362666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

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.

26 N ARSENAL AVE, Indianapolis, IN 46201

Open in Google Maps ↗

Other Identifiers 1

Medicaid200966040IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Ebony L. Jackson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1254811011

PECOS Enrollment IDI20260223003501

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.

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.

KATHY L GIDDINGS BSW

Case Manager/Care Coordinator