BREANNE JACKSON APRN
NPI 1417788241
Nurse Practitioner in Seminole, OK
About Breanne Jackson Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BREANNE JACKSON APRN (NPI 1417788241) is an individual nurse practitioner in Seminole, Oklahoma, licensed in Oklahoma (2197444) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS, is affiliated with Integris Baptist Medical Center, Inc, and is a graduate of University Of South Alabama College Of Medicine (2024).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
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
Breanne Jackson Aprn 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.
Medicare Billing Reassignments
3Medicare enrollment records show Breanne Jackson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Norman, OK 73071
- Reassigned Medicare billing, Oklahoma enrollment
- 418 clinicians in this Medicare group
Oklahoma City, OK 73102
- Reassigned Medicare billing, Oklahoma enrollment
- Medicare enrollment name: Emergency Physicians Of Mid-America PC
- 310 clinicians in this Medicare group
Lawton, OK 73505
- Reassigned Medicare billing, Oklahoma enrollment
- 249 clinicians in this Medicare group
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
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Integris Baptist Medical Center, Inc
Acute Care Hospitals · Oklahoma City, OKPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 74868 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Breanne Jackson's NPI number?
The NPI number for Breanne Jackson is 1417788241. It was assigned to this individual provider in the NPPES registry on August 13, 2024.
Where is Breanne Jackson located?
Breanne Jackson practices at 1602 Highway 9 E, Seminole, OK 74868. The listed phone number is (405) 716-9077.
What is Breanne Jackson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Breanne Jackson enrolled in Medicare?
Yes. Breanne 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 Breanne Jackson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Breanne Jackson reassigns Medicare benefits to 3 organizations: Emergency Services Of Oklahoma PC (Norman, OK), Emergency Physicians Of Mid-America, P.C. (Oklahoma City, OK) and Williams Medical Group Practice, LLC (Lawton, OK). 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 Breanne Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Breanne Jackson accept?
Health plans from Blue Cross and Blue Shield of Oklahoma list Breanne Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Breanne Jackson affiliated with any hospitals?
According to CMS data, Breanne Jackson is affiliated with Integris Baptist Medical Center, Inc.
When was this NPI record last updated?
The NPPES record for Breanne Jackson was last updated on January 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Breanne Jackson, APRN · NPI 1417788241
Nurse Practitioner physician in Seminole, Oklahoma. Individual provider, active in the CMS NPPES registry since August 13, 2024.
## Identity
- **NPI:** 1417788241 (Entity type: Individual)
- **Enumerated:** August 13, 2024
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 2197444 (Oklahoma)
- **Sole proprietor:** No
## Practice location
- **Address:** 1602 HIGHWAY 9 E, Seminole, OK 74868-6618
- **Phone:** (405) 716-9077
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Emergency Services Of Oklahoma PC (NPI 1215249891, Norman, OK); Emergency Physicians Of Mid-America, P.C. (NPI 1063825297, Oklahoma City, OK); Williams Medical Group Practice, LLC (NPI 1346608809, Lawton, OK) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of South Alabama College Of Medicine, class of 2024
## Record status
- **NPPES last updated:** January 16, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1417788241) · Data from the CMS NPPES public registry.