MRS. JEAN Z JACKSON PMHNP-BC, RN
NPI 1407530579
Nurse Practitioner - Psychiatric/Mental Health in Hicksville, NY
About Mrs. Jean Z Jackson Pmhnp-bc, Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JEAN Z JACKSON PMHNP-BC, RN (NPI 1407530579) is an individual psychiatric/mental health provider in Hicksville, New York, licensed in New York (405610) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses 2
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. Jean Z Jackson Pmhnp-bc, Rn 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11801 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.
HICKSVILLE, NY 11801
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 Jean Jackson's NPI number?
The NPI number for Jean Jackson is 1407530579. It was assigned to this individual provider in the NPPES registry on June 9, 2023.
Where is Jean Jackson located?
Jean Jackson practices at 950 S Oyster Bay Rd, Hicksville, NY 11801. The listed phone number is (516) 822-6111.
What is Jean Jackson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Jean Jackson enrolled in Medicare?
Yes. Jean 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.
When was this NPI record last updated?
The NPPES record for Jean Jackson was last updated on July 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mrs. Jean Z Jackson, PMHNP-BC, RN · NPI 1407530579
Psychiatric/Mental Health physician in Hicksville, New York. Individual provider, active in the CMS NPPES registry since June 9, 2023.
## Identity
- **NPI:** 1407530579 (Entity type: Individual)
- **Enumerated:** June 9, 2023
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 405610 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 950 S OYSTER BAY RD, Hicksville, NY 11801-3511
- **Phone:** (516) 822-6111
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** July 1, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1407530579) · Data from the CMS NPPES public registry.