ANTONIA JACKSON
NPI 1356763593
Nurse Practitioner - Family in Trotwood, OH
About Antonia Jackson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANTONIA JACKSON (NPI 1356763593) is an individual family provider in Trotwood, Ohio, licensed in Ohio (APRN.CNP.0030393) and active in the NPI registry since January 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Midvale, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Antonia Jackson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
7Medicare enrollment records show Antonia Jackson reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Moraine, OH 45439
- Reassigned Medicare billing, Ohio enrollment
- 268 clinicians in this Medicare group
Milford, OH 45150
- Reassigned Medicare billing, Ohio enrollment
- 84 clinicians in this Medicare group
Cincinnati, OH 45231
- Reassigned Medicare billing, Ohio enrollment
- 537 clinicians in this Medicare group
Cincinnati, OH 45230
- Reassigned Medicare billing, Ohio enrollment
- 329 clinicians in this Medicare group
Nashville, TN 37219
- Reassigned Medicare billing, Ohio enrollment
- 271 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, Ohio enrollment
- 672 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, Georgia enrollment
- 488 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 45426 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
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 Antonia Jackson's NPI number?
The NPI number for Antonia Jackson is 1356763593. It was assigned to this individual provider in the NPPES registry on January 7, 2014.
Where is Antonia Jackson located?
Antonia Jackson practices at 5130 Salem Ave, Trotwood, OH 45426. The listed phone number is (937) 529-4443.
What is Antonia Jackson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Antonia Jackson enrolled in Medicare?
Yes. Antonia Jackson is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Antonia Jackson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Antonia Jackson reassigns Medicare benefits to 7 organizations: Vpa PC (Moraine, OH), Mercy Health Urgent Care LLC (Milford, OH), The Little Clinic Of Ohio LLC (Cincinnati, OH), Cg Medical Associates Inc (Cincinnati, OH), Community Care Health Network LLC (Nashville, TN) and 2 more organizations, listed in the Medicare section above. 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 Antonia Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Antonia Jackson accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and CareSource (Common Ground Healthcare) list Antonia 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 Antonia Jackson was last updated on February 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Antonia Jackson · NPI 1356763593
Family physician in Trotwood, Ohio. Individual provider, active in the CMS NPPES registry since January 7, 2014.
## Identity
- **NPI:** 1356763593 (Entity type: Individual)
- **Enumerated:** January 7, 2014
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APRN.CNP.0030393 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 5130 SALEM AVE, Trotwood, OH 45426-2042
- **Phone:** (937) 529-4443
## 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:** 7 organizations under Medicare reassignment (form CMS-855R): Vpa PC (NPI 1346254281, Moraine, OH); Mercy Health Urgent Care LLC (NPI 1588390942, Milford, OH); The Little Clinic Of Ohio LLC (NPI 1982761896, Cincinnati, OH); Cg Medical Associates Inc (NPI 1982903951, Cincinnati, OH); Community Care Health Network LLC (NPI 1619368842, Nashville, TN); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** February 23, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1356763593) · Data from the CMS NPPES public registry.