ASHLEY MARIAH JACKSON
NPI 1376434878
Nurse Practitioner - Family in Willowbrook, IL

Q: 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.

Q: What is Ashley Jackson's specialty?

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

Q: 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 11 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.

Active since July 12, 2025PECOS EnrolledAccepts Medicare Assignment

40 75TH ST, WILLOWBROOK, IL 60527(312) 219-4216 Get Directions Write a Review

NPPES record last updated: August 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 10, 2025, Jul 12, 2025 (2 updates tracked since 2025).

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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

NPI1376434878

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameASHLEY MARIAH JACKSON

Location Address40 75TH STWillowbrook, IL 60527-2325

Mailing Address18807 Oakwood AveCountry Club Hills, IL 60478-5665

Phone(312) 219-4216

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateJuly 12, 2025

Last NPPES UpdateAugust 10, 20252 updates tracked since enumeration

NPPES CertifiedAugust 10, 2025

✔ NPI 1376434878 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 IL · 209.032410

40 75TH ST, Willowbrook, IL 60527

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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

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.

PECOS PAC ID4587164926

PECOS Enrollment IDI20250821000805

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.

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.

New Patient

$93.02 typical visit price

range $59.81 – $181.38

Typical copayment $23.25 (range $14.95 – $45.34)

Most-billed visit code 99203

Established Patient

$105.07 typical visit price

range $19.15 – $147.12

Typical copayment $26.26 (range $4.78 – $36.78)

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 20

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

YESENIA SANCHEZ

Nurse Practitioner (Family)