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MRS. AMANDA MARIE JACKSON
NPI 1376913111
Social Worker - Clinical in North Las Vegas, NV

Active since October 06, 2015PECOS EnrolledAccepts Medicare Assignment
24 GOLDLEAF FALLS AVE, NORTH LAS VEGAS, NV 89031(202) 909-5016 Get Directions Write a Review

NPPES record last updated: April 2, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Amanda Marie Jackson NPPES

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

MRS. AMANDA MARIE JACKSON (NPI 1376913111) is an individual clinical provider in North Las Vegas, Nevada, licensed in Nevada (11782-C) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1376913111
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. AMANDA MARIE JACKSON
Location Address24 GOLDLEAF FALLS AVENorth Las Vegas, NV 89031-2957
Mailing Address24 Goldleaf Falls AveNorth Las Vegas, NV 89031-2957 · (202) 909-5016
Phone(202) 909-5016
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateOctober 6, 2015
Last NPPES UpdateApril 2, 2025
NPPES CertifiedApril 2, 2025
✔ NPI 1376913111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NV · 11782-C
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
24 GOLDLEAF FALLS AVE, North Las Vegas, NV 89031
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Other Names 1

Former Name (1)Ms. Amanda Maire Jackson Amanda Marie Sellars

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

Mrs. Amanda Marie 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 ID7113428939
PECOS Enrollment IDI20250902002641
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Amanda Jackson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Geiss Med Nevada PC
227 mi
Family Medicine
2592 N SANTIAGO BLVD
Orange, CA 92867
  • Reassigned Medicare billing, Nevada enrollment
  • 22 clinicians in this Medicare group
NPI 1033793963 (855) 434-7763
J M Geiss Do Apc
232 mi
Family Medicine
5 HUTTON CENTRE DR STE 950
Santa Ana, CA 92707
  • Reassigned Medicare billing, Nevada enrollment
  • 15 clinicians in this Medicare group
NPI 1063825289 (855) 434-7763
Bruncuso Holdings LLC
247 mi
Family
4705 E CAREFREE HWY STE 131
Cave Creek, AZ 85331
  • Reassigned Medicare billing, Nevada enrollment
  • 16 clinicians in this Medicare group
NPI 1497442586 (480) 847-2273

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 89031 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
$0.00 typical visit price
range $57.07 – $173.24
Typical copayment $0.00 (range $14.26 – $43.31)
Most-billed visit code NA
Established Patient
$71.14 typical visit price
range $18.27 – $140.96
Typical copayment $17.78 (range $4.56 – $35.24)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Amanda Jackson's NPI number?

The NPI number for Amanda Jackson is 1376913111. It was assigned to this individual provider in the NPPES registry on October 6, 2015. The provider is also known as Ms. Amanda Maire Jackson Amanda Marie Sellars.

Where is Amanda Jackson located?

Amanda Jackson practices at 24 Goldleaf Falls Ave, North Las Vegas, NV 89031. The listed phone number is (202) 909-5016.

What is Amanda Jackson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Amanda Jackson enrolled in Medicare?

Yes. Amanda 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 organizations bill Medicare for Amanda Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Jackson reassigns Medicare benefits to 3 organizations: Geiss Med Nevada PC (Orange, CA), J M Geiss Do Apc (Santa Ana, CA) and Bruncuso Holdings LLC (Cave Creek, AZ). 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 Amanda 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 Amanda Jackson was last updated on April 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.