Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

ANDREA MARIE JACKSON
NPI 1437080124
Nurse Practitioner - Family in Bismarck, ND

Q: What is Andrea Jackson's NPI number?

The NPI number for Andrea Jackson is 1437080124. It was assigned to this individual provider in the NPPES registry on May 29, 2026.

Q: What is Andrea 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 Andrea Jackson was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since May 29, 2026PECOS Enrolled

500 E FRONT AVE STE 102, BISMARCK, ND 58504(701) 975-6400(844) 670-8600 Get Directions Write a Review

NPPES record added: May 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Andrea Marie Jackson NPPES

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

ANDREA MARIE JACKSON (NPI 1437080124) is an individual family provider in Bismarck, North Dakota, licensed in North Dakota (204935) and active in the NPI registry since May 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437080124

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameANDREA MARIE JACKSON

Location Address500 E FRONT AVE STE 102Bismarck, ND 58504-5689

Mailing Address830 Stagecoach CirBismarck, ND 58503-8832 · (406) 672-9856

Phone(701) 975-6400

Fax(844) 670-8600

Sole ProprietorYes

Enumeration DateMay 29, 2026

NPPES CertifiedMay 29, 2026

✔ NPI 1437080124 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 ND · 204935

500 E FRONT AVE STE 102, Bismarck, ND 58504

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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrea Marie Jackson 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 58504 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

$85.71 typical visit price

range $55.75 – $168.12

Typical copayment $21.42 (range $13.93 – $42.03)

Most-billed visit code 99203

Established Patient

$98.29 typical visit price

range $18.11 – $137.65

Typical copayment $24.57 (range $4.52 – $34.41)

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.

WAYNE MICHAEL JUNDT

Counselor (Mental Health)

500 E FRONT AVE STE 102
BISMARCK, ND 58504

Burleigh County (701) 975-6400

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 Andrea Jackson's NPI number?

The NPI number for Andrea Jackson is 1437080124. It was assigned to this individual provider in the NPPES registry on May 29, 2026.

Where is Andrea Jackson located?

Andrea Jackson practices at 500 E Front Ave Ste 102, Bismarck, ND 58504. The listed phone number is (701) 975-6400.

What is Andrea Jackson's specialty?

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

Is Andrea Jackson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Andrea Jackson was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.