ASHLEY MARIAH JACKSON
NPI 1376434878
Nurse Practitioner - Family in Willowbrook, IL
About Ashley Mariah Jackson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ASHLEY MARIAH JACKSON (NPI 1376434878) is an individual family provider in Willowbrook, Illinois, licensed in Illinois (209.032410) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Ashley Mariah Jackson 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.
Medicare Billing Reassignment
Medicare enrollment records show Ashley Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Willowbrook, IL 60527
- Reassigned Medicare billing, Illinois enrollment
- 410 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 60527 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 20
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 Ashley Jackson's NPI number?
The NPI number for Ashley Jackson is 1376434878. It was assigned to this individual provider in the NPPES registry on July 12, 2025.
Where is Ashley Jackson located?
Ashley Jackson practices at 40 75th St, Willowbrook, IL 60527. The listed phone number is (312) 219-4216.
What is Ashley Jackson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Ashley Jackson enrolled in Medicare?
Yes. Ashley 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 Ashley Jackson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ashley Jackson reassigns Medicare benefits to Midwest Express Care 2, Inc (Willowbrook, IL). 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 Ashley Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ashley Jackson accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Ashley 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 Ashley Jackson was last updated on August 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.
# Ashley Mariah Jackson · NPI 1376434878
Family physician in Willowbrook, Illinois. Individual provider, active in the CMS NPPES registry since July 12, 2025.
## Identity
- **NPI:** 1376434878 (Entity type: Individual)
- **Enumerated:** July 12, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 209.032410 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 40 75TH ST, Willowbrook, IL 60527-2325
- **Phone:** (312) 219-4216
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Midwest Express Care 2, Inc (NPI 1548692890, Willowbrook, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** August 10, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1376434878) · Data from the CMS NPPES public registry.