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LAURAINE M JACKSON FNP-BC
NPI 1336483379
Nurse Practitioner - Family in Prescott Valley, AZ

Active since November 15, 2012PECOS EnrolledAccepts Medicare Assignment
3212 N WINDSONG DR, SUITE 200, PRESCOTT VALLEY, AZ 86314(928) 583-1000(866) 751-4157 Get Directions Write a Review

NPPES record last updated: June 7, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lauraine M Jackson Fnp-bc NPPES

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

LAURAINE M JACKSON FNP-BC (NPI 1336483379) is an individual family provider in Prescott Valley, Arizona, licensed in Arizona (RN098038) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1336483379
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLAURAINE M JACKSONCredential: FNP-BC
Location Address3212 N WINDSONG DR, SUITE 200Prescott Valley, AZ 86314-2255
Mailing Address330 Seven Springs WayBrentwood, TN 37027-5098 · (615) 920-7782 · Fax (615) 920-8775
Phone(928) 583-1000
Fax(866) 751-4157
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateNovember 15, 2012
Last NPPES UpdateJune 7, 2017
✔ NPI 1336483379 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 AZ · RN098038
3212 N WINDSONG DR, Prescott Valley, AZ 86314
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross Blue Shield of Arizona 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 and accepts Medicare assignment

Lauraine M Jackson Fnp-bc 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 ID6406000942
PECOS Enrollment IDI20130208000137
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 Lauraine Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Craig M. Rundbaken, D.O. PLLC
64 mi
Pulmonary Disease
14300 W GRANITE VALLEY DR STE E23
Sun City West, AZ 85375
  • Reassigned Medicare billing, Arizona enrollment
  • Medicare enrollment name: Craig M Rundbaken Do PLLC
  • 16 clinicians in this Medicare group
NPI 1821279308 (623) 975-0500

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 86314 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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 3

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

EILEEN KIM PETROCELLI IBCLC
Lactation Consultant, Non-RN
3212 N WINDSONG DR, 2ND FLOOR
PRESCOTT VALLEY, AZ 86314
Yavapai County (928) 583-1037
DAVID JENSON DNP, PMHNP, FNP
Nurse Practitioner (Psychiatric/Mental Health)
3212 N WINDSONG DR, SUITE 200
PRESCOTT VALLEY, AZ 86314
Yavapai County (928) 583-1000
PEARL TAPIA IBCLC
Lactation Consultant, Non-RN
3212 N WINDSONG DR, 2ND FLOOR
PRESCOTT VALLEY, AZ 86314
Yavapai County (928) 583-1021

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 Lauraine Jackson's NPI number?

The NPI number for Lauraine Jackson is 1336483379. It was assigned to this individual provider in the NPPES registry on November 15, 2012.

Where is Lauraine Jackson located?

Lauraine Jackson practices at 3212 N Windsong Dr Suite 200, Prescott Valley, AZ 86314. The listed phone number is (928) 583-1000.

What is Lauraine Jackson's specialty?

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

Is Lauraine Jackson enrolled in Medicare?

Yes. Lauraine 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 organization bills Medicare for Lauraine Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lauraine Jackson reassigns Medicare benefits to Craig M. Rundbaken, D.O. PLLC (Sun City West, AZ). 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 Lauraine Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lauraine Jackson accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and UnitedHealthcare list Lauraine 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 Lauraine Jackson was last updated on June 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.