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NICOLE JACKSON FNP, PMHNP
NPI 1366974628
Nurse Practitioner - Psychiatric/Mental Health in Dover, DE

Active since March 28, 2017PECOS EnrolledAccepts Medicare Assignment
200 BANNING ST STE 260, DOVER, DE 19904(302) 224-1400(302) 224-1402 Get Directions Write a Review

NPPES record last updated: February 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 20, 2023, Jan 17, 2023, Nov 11, 2019 and 1 more (4 updates tracked since 2017).

About Nicole Jackson Fnp, Pmhnp NPPES

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

NICOLE JACKSON FNP, PMHNP (NPI 1366974628) is an individual psychiatric/mental health provider in Dover, Delaware, licensed in Delaware (L80010226) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1366974628
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameNICOLE JACKSONCredential: FNP, PMHNP
Location Address200 BANNING ST STE 260Dover, DE 19904-3489
Mailing Address200 Banning St Ste 260Dover, DE 19904-3489 · (302) 224-1400 · Fax (302) 224-1402
Phone(302) 224-1400
Fax(302) 224-1402
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 28, 2017
Last NPPES UpdateFebruary 20, 20234 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2023
✔ NPI 1366974628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in DE · L80010226
Also ListedNurse PractitionerTaxonomy 363L00000X · License LG0001029 (DE)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License LG0001029 (DE)
200 BANNING ST STE 260, Dover, DE 19904
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Highmark Blue Cross Blue Shield Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole Jackson Fnp, Pmhnp 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 ID7113294034
PECOS Enrollment IDI20170525000568
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.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
176 services41 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
87 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19904 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
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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.

MAUREEN DARLING APRN
Nurse Practitioner (Psychiatric/Mental Health)
200 BANNING ST STE 260
DOVER, DE 19904
Kent County (302) 224-1400
CARLI NARDO
Counselor (Professional)
200 BANNING ST STE 260
DOVER, DE 19904
Kent County (302) 565-6505
SARAH HALIMA MOUHTARIM LMSW
Social Worker
200 BANNING ST STE 260
DOVER, DE 19904
Kent County (302) 224-1400

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 Nicole Jackson's NPI number?

The NPI number for Nicole Jackson is 1366974628. It was assigned to this individual provider in the NPPES registry on March 28, 2017.

Where is Nicole Jackson located?

Nicole Jackson practices at 200 Banning St Ste 260, Dover, DE 19904. The listed phone number is (302) 224-1400.

What is Nicole Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Nicole Jackson enrolled in Medicare?

Yes. Nicole 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.

What insurance does Nicole Jackson accept?

Health plans from AmeriHealth Caritas Next and Highmark Blue Cross Blue Shield Delaware list Nicole 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 Nicole Jackson was last updated on February 20, 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.