MRS. LINETTE MARIE JACKSON CNRP
NPI 1417234600
Nurse Practitioner - Family in Jacksonville, FL

Q: What is Linette Jackson's NPI number?

The NPI number for Linette Jackson is 1417234600. It was assigned to this individual provider in the NPPES registry on November 16, 2011.

Q: What is Linette 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 Linette Jackson was last updated on April 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 November 16, 2011PECOS EnrolledAccepts Medicare Assignment

3627 UNIVERSITY BLVD S, SUITE 500, JACKSONVILLE, FL 32216(904) 399-1623(904) 399-1624 Get Directions Write a Review

NPPES record last updated: April 1, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 1, 2021, Nov 7, 2017 (2 updates tracked since 2017).

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About Mrs. Linette Marie Jackson Cnrp NPPES

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

MRS. LINETTE MARIE JACKSON CNRP (NPI 1417234600) is an individual family provider in Jacksonville, Florida, licensed in Florida (ARNP3394072) and active in the NPI registry since November 2011. She is enrolled in Medicare PECOS, is affiliated with Olean General Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1417234600

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. LINETTE MARIE JACKSONCredential: CNRP

Location Address3627 UNIVERSITY BLVD S, SUITE 500Jacksonville, FL 32216-4230

Mailing Address1001 E 2nd StCoudersport, PA 16915-8161 · (814) 274-5585

Phone(904) 399-1623

Fax(904) 399-1624

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateNovember 16, 2011

Last NPPES UpdateApril 1, 20212 updates tracked since enumeration

NPPES CertifiedApril 1, 2021

✔ NPI 1417234600 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 FL · ARNP3394072

3627 UNIVERSITY BLVD S, Jacksonville, FL 32216

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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. Linette Marie Jackson Cnrp 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 ID4284809195

PECOS Enrollment IDI20180124001819

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

Medicare enrollment records show Linette Jackson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Delphi Healthcare PLLC

913 mi

Emergency Medicine

1160 CHILI AVE
Rochester, NY 14624

Reassigned Medicare billing, New York and Pennsylvania enrollments
203 clinicians in this Medicare group

NPI 1003075029 (585) 330-3374

Delphi Hospitalist Services LLC

913 mi

Hospitalist

1160 CHILI AVE STE 200
Rochester, NY 14624

Reassigned Medicare billing, New York enrollment
185 clinicians in this Medicare group

NPI 1922270420 (585) 500-4814

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

140 services134 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

132 services126 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

12 services11 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Olean General Hospital

Acute Care Hospitals · Olean, NY

1/5 CMS rating

OwnershipProprietary

CMS Certification Number330103

Location515 Main StreetOlean, NY 14760 · Cattaraugus County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32216 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

AMY LEE DEICHERT MS-SP-CCC

Speech-Language Pathologist

3627 UNIVERSITY BLVD S, SUITE 210
JACKSONVILLE, FL 32216

Duval County (904) 399-5311

FLORIDA WOMAN CARE LLC

Obstetrics & Gynecology

3627 UNIVERSITY BLVD S, SUITE 340
JACKSONVILLE, FL 32216

Duval County (904) 398-1202

MRS. LUCILE RITA CUENOT ARNP

Nurse Practitioner

3627 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216

Duval County (904) 396-0300

DR. EUGENE RAWSON GRIFFIN III MD

Family Medicine (Geriatric Medicine)

3627 UNIVERSITY BLVD S, STE 615
JACKSONVILLE, FL 32216

Duval County (904) 399-1623

YERGIN PULMONARY CLINIC PA

Internal Medicine (Pulmonary Disease)

3627 UNIVERSITY BLVD S, SUITE 300
JACKSONVILLE, FL 32216

Duval County (904) 396-0300

DR. MARWAN M SHAYKH MD

Obstetrics & Gynecology

3627 UNIVERSITY BLVD S, SUITE 450
JACKSONVILLE, FL 32216

Duval County (904) 398-1473

DANIEL C MCDYER MD

Obstetrics & Gynecology

3627 UNIVERSITY BLVD S, STE 340
JACKSONVILLE, FL 32216

Duval County (904) 396-3518

DR. BHARAT K MISRA MD

Internal Medicine (Gastroenterology)

3627 UNIVERSITY BLVD S, SUITE 705
JACKSONVILLE, FL 32216

Duval County (904) 398-6718

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 Linette Jackson's NPI number?

The NPI number for Linette Jackson is 1417234600. It was assigned to this individual provider in the NPPES registry on November 16, 2011.

Where is Linette Jackson located?

Linette Jackson practices at 3627 University Blvd S Suite 500, Jacksonville, FL 32216. The listed phone number is (904) 399-1623.

What is Linette Jackson's specialty?

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

Is Linette Jackson enrolled in Medicare?

Yes. Linette 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 Linette Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Linette Jackson reassigns Medicare benefits to 2 organizations: Delphi Healthcare PLLC (Rochester, NY) and Delphi Hospitalist Services LLC (Rochester, NY). 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 Linette Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Linette Jackson affiliated with any hospitals?

According to CMS data, Linette Jackson is affiliated with Olean General Hospital.

When was this NPI record last updated?

The NPPES record for Linette Jackson was last updated on April 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.