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

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: August 02, 2026.

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

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, and ordering and referring status from the CMS PECOS system.

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.

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.

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.