1. Home
  2. Directory
  3. Massachusetts
  4. Mattapan
  5. Nurse Practitioner
  6. NPI Profile

STEPHENIE C JACKSON PMHNP
NPI 1427722917
Nurse Practitioner - Psychiatric/Mental Health in Mattapan, MA

Active since August 06, 2021PECOS Enrolled
119 W SELDEN ST, MATTAPAN, MA 02126(617) 407-7879 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 25, 2025, Feb 18, 2025, Aug 6, 2021 (3 updates tracked since 2021).

About Stephenie C Jackson Pmhnp NPPES

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

STEPHENIE C JACKSON PMHNP (NPI 1427722917) is an individual psychiatric/mental health provider in Mattapan, Massachusetts, licensed in Massachusetts (RN2288835) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427722917
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSTEPHENIE C JACKSONCredential: PMHNP
Location Address119 W SELDEN STMattapan, MA 02126-2348
Mailing Address119 W Selden St # 2Mattapan, MA 02126-2348 · (617) 407-7879
Phone(617) 407-7879
Sole ProprietorYes
Enumeration DateAugust 6, 2021
Last NPPES UpdateMarch 25, 20253 updates tracked since enumeration
NPPES CertifiedMarch 25, 2025
✔ NPI 1427722917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MA · RN2288835
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 2118 (MA)
Also ListedRegistered Nurse · Addiction (Substance Use Disorder)Taxonomy 163WA0400X · License 6873 (MA)
119 W SELDEN ST, Mattapan, MA 02126
Open in Google Maps ↗

Other Names 1

Other Name (5)Stephenie Jackson-wilson Pmhnp

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephenie C Jackson Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 02126 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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

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

ACCESS CARE EVERYWHERE, LLC
Nurse Practitioner (Psychiatric/Mental Health)
119 W SELDEN ST
MATTAPAN, MA 02126
Suffolk County (617) 407-7879

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 Stephenie Jackson's NPI number?

The NPI number for Stephenie Jackson is 1427722917. It was assigned to this individual provider in the NPPES registry on August 6, 2021. The provider is also known as Stephenie Jackson-Wilson Pmhnp.

Where is Stephenie Jackson located?

Stephenie Jackson practices at 119 W Selden St, Mattapan, MA 02126. The listed phone number is (617) 407-7879.

What is Stephenie Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Stephenie Jackson enrolled in Medicare?

Yes. Stephenie Jackson is registered in the Medicare PECOS enrollment system.

What insurance does Stephenie Jackson accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Stephenie 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.

When was this NPI record last updated?

The NPPES record for Stephenie Jackson was last updated on March 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.