DR. LORRAINE HELENA MARY JACKSON MD
NPI 1447348479
Internal Medicine in Green Bay, WI

Active since October 11, 2006PECOS EnrolledAccepts Medicare Assignment
94.61/100
CMS Quality Rating
1715 DOUSMAN ST, GREEN BAY, WI 54303(920) 496-4700 Get Directions Write a Review

NPPES record last updated: June 8, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Lorraine Helena Mary Jackson Md NPPES

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

DR. LORRAINE HELENA MARY JACKSON MD (NPI 1447348479) is an individual internal medicine provider in Green Bay, Wisconsin, licensed in Wisconsin (32894) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with St Vincent Hospital, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1447348479
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. LORRAINE HELENA MARY JACKSONCredential: MD
Location Address1715 DOUSMAN STGreen Bay, WI 54303-3211
Mailing Address1715 Dousman StGreen Bay, WI 54303-3211 · (920) 496-4700
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateOctober 11, 2006
Last NPPES UpdateJune 8, 2015
NPI 1447348479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in WI · 32894
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X · License 32894-020 (WI)
1715 DOUSMAN ST, Green Bay, WI 54303

Accepted Insurance

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

Dr. Lorraine Helena Mary Jackson Md 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 ID5991690752
PECOS Enrollment IDI20040219000648
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 3

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.

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
116 services99 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
71 services44 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
28 services21 patients

Hospital Affiliations CMS Care Compare 2

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

St Vincent Hospital

Acute Care Hospitals · Green Bay, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520075
Location835 S Van Buren StGreen Bay, WI 54301 · Brown County
Emergency services Birthing friendly

St Mary's Hospital Medical Center

Acute Care Hospitals · Green Bay, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number520097
Location1726 Shawano AveGreen Bay, WI 54303 · Brown County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54303 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.17
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
2 suppliers19 claims19 services$24.34 avg. paid by Medicare
Urinary catheter anchoring device, adhesive skin attachment, each A4333
DME-Orthotic Devices · category DF000N
2 suppliers19 claims228 services$2.13 avg. paid by Medicare
Urinary catheter anchoring device, leg strap, each A4334
DME-Orthotic Devices · category DF000N
2 suppliers19 claims19 services$4.74 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
2 suppliers19 claims19 services$9.35 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Physician Assistant (Medical)
1715 DOUSMAN ST
GREEN BAY, WI 54303
Surgery
1715 DOUSMAN ST
GREEN BAY, WI 54303
Specialist/Technologist, Other (Surgical Assistant)
1715 DOUSMAN ST
GREEN BAY, WI 54303
Orthopaedic Surgery
1715 DOUSMAN ST
GREEN BAY, WI 54303
Nurse Practitioner (Adult Health)
1715 DOUSMAN ST
GREEN BAY, WI 54303
Orthopaedic Surgery
1715 DOUSMAN ST
GREEN BAY, WI 54303
Surgery
1715 DOUSMAN ST
GREEN BAY, WI 54303
Registered Nurse
1715 DOUSMAN ST
GREEN BAY, WI 54303

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 Lorraine Jackson's NPI number?

The NPI number for Lorraine Jackson is 1447348479. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Where is Lorraine Jackson located?

Lorraine Jackson practices at 1715 Dousman St, Green Bay, WI 54303. The listed phone number is (920) 496-4700.

What is Lorraine Jackson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Lorraine Jackson enrolled in Medicare?

Yes. Lorraine 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.

What insurance does Lorraine Jackson accept?

Health plans from Network Health list Lorraine 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 Lorraine Jackson affiliated with any hospitals?

According to CMS data, Lorraine Jackson is affiliated with St Vincent Hospital and St Mary's Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Lorraine Jackson was last updated on June 8, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.