MRS. PAMELA DEAN REAVES JACKSON CRNP
NPI 1386191112
Nurse Practitioner - Acute Care in Anniston, AL

Q: What is Pamela Jackson's NPI number?

The NPI number for Pamela Jackson is 1386191112. It was assigned to this individual provider in the NPPES registry on September 9, 2016.

Q: What is Pamela Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Pamela Jackson was last updated on September 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since September 09, 2016PECOS EnrolledAccepts Medicare Assignment

1131 LEIGHTON AVE, ANNISTON, AL 36207(256) 237-0025 Get Directions Write a Review

NPPES record last updated: September 9, 2016. Verified against the NPPES registry weekly; last sync: August 30, 2026.

On this page

About Mrs. Pamela Dean Reaves Jackson Crnp NPPES

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

MRS. PAMELA DEAN REAVES JACKSON CRNP (NPI 1386191112) is an individual acute care provider in Anniston, Alabama, licensed in Alabama (1-054775) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1386191112

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameMRS. PAMELA DEAN REAVES JACKSONCredential: CRNP

Location Address1131 LEIGHTON AVEAnniston, AL 36207-4610

Mailing Address1131 Leighton AveAnniston, AL 36207-4610 · (256) 237-0025

Phone(256) 237-0025

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateSeptember 9, 2016

✔ NPI 1386191112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in AL · 1-054775

1131 LEIGHTON AVE, Anniston, AL 36207

Open in Google Maps ↗

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

Mrs. Pamela Dean Reaves Jackson Crnp 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 ID5799271037

PECOS Enrollment IDI20260122002951

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 36207 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

$81.90 typical visit price

range $52.65 – $161.63

Typical copayment $20.47 (range $13.16 – $40.40)

Most-billed visit code 99203

Established Patient

$93.72 typical visit price

range $16.56 – $131.65

Typical copayment $23.43 (range $4.14 – $32.91)

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 5

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

MRS. TRACY ELAINE BUSH CRNP

Nurse Practitioner (Adult Health)