NANCY CHERI JACKSON NURSE PRACTITIONER
NPI 1336802412
Registered Nurse in Spring Valley, CA
About Nancy Cheri Jackson Nurse Practitioner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NANCY CHERI JACKSON NURSE PRACTITIONER (NPI 1336802412) is an individual registered nurse in Spring Valley, California, licensed in California (714784) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nancy Cheri Jackson Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Nancy Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Diego, CA 92123
- Reassigned Medicare billing, California enrollment
- 27 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.
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 Nancy Jackson's NPI number?
The NPI number for Nancy Jackson is 1336802412. It was assigned to this individual provider in the NPPES registry on October 15, 2021.
Where is Nancy Jackson located?
Nancy Jackson practices at 9735 Campo Rd Ste 270, Spring Valley, CA 91977. The listed phone number is (619) 465-4982.
What is Nancy Jackson's specialty?
The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.
Is Nancy Jackson enrolled in Medicare?
Yes. Nancy Jackson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Nancy Jackson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nancy Jackson reassigns Medicare benefits to Zachary C Cohen MD Apc (San Diego, CA). 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 Nancy Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Nancy Jackson was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days 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.
# Nancy Cheri Jackson, NURSE PRACTITIONER · NPI 1336802412
Registered Nurse provider in Spring Valley, California. Individual provider, active in the CMS NPPES registry since October 15, 2021.
## Identity
- **NPI:** 1336802412 (Entity type: Individual)
- **Enumerated:** October 15, 2021
- **Primary specialty:** Registered Nurse · taxonomy 163W00000X
- **State license:** 714784 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 9735 CAMPO RD STE 270, Spring Valley, CA 91977-1490
- **Phone:** (619) 465-4982
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Zachary C Cohen MD Apc (NPI 1689334468, San Diego, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 23, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1336802412) · Data from the CMS NPPES public registry.