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ANDREA J JACKSON APN
NPI 1447511746
Nurse Practitioner in Naperville, IL

Active since June 04, 2012PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
636 RAYMOND DR STE 303, NAPERVILLE, IL 60563(630) 653-4240(630) 315-1505 Get Directions Write a Review

NPPES record last updated: November 21, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Andrea J Jackson Apn NPPES

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

ANDREA J JACKSON APN (NPI 1447511746) is an individual nurse practitioner in Naperville, Illinois, licensed in Illinois (209009581) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Central Dupage Hospital, and maintains a secondary practice location in Aurora.

NPPES Registry Identity

NPI1447511746
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameANDREA J JACKSONCredential: APN
Location Address636 RAYMOND DR STE 303Naperville, IL 60563-9792
Mailing Address636 Raymond Dr Ste 303Naperville, IL 60563-9792 · (630) 653-4240 · Fax (630) 315-1505
Phone(630) 653-4240
Fax(630) 315-1505
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 4, 2012
Last NPPES UpdateNovember 21, 2023
NPPES CertifiedNovember 21, 2023
✔ NPI 1447511746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209009581
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X · License 209-009581 (IL)
636 RAYMOND DR STE 303, Naperville, IL 60563
Open in Google Maps ↗

Secondary Practice Location 1

Location 1400 N Highland AveAurora, IL 60506-3814 · Phone (860) 985-1836

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

Andrea J Jackson Apn 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 ID4880832609
PECOS Enrollment IDI20230914002641
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.

Medicare Billing Reassignment

Medicare enrollment records show Andrea Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Central Dupage Physician Group
6.3 mi
Family Medicine
5777 DEPARTMENT
Carol Stream, IL 60122
  • Reassigned Medicare billing, Illinois enrollment
  • 1,664 clinicians in this Medicare group
NPI 1033149844 (630) 933-3300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60563 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.59
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

DR. MELISSA MAY DEER PELLETIER D.O.
Obstetrics & Gynecology
636 RAYMOND DR STE 303
NAPERVILLE, IL 60563
Dupage County (630) 653-4240
DR. DANA ELBORNO M.D.
Obstetrics & Gynecology
636 RAYMOND DR STE 303
NAPERVILLE, IL 60563
Dupage County (630) 653-4240

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 1447511746. It was assigned to this individual provider in the NPPES registry on June 4, 2012.

Where is Andrea Jackson located?

Andrea Jackson practices at 636 Raymond Dr Ste 303, Naperville, IL 60563. The listed phone number is (630) 653-4240.

What is Andrea Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Andrea Jackson enrolled in Medicare?

Yes. Andrea 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 organization bills Medicare for Andrea Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Jackson reassigns Medicare benefits to Central Dupage Physician Group (Carol Stream, IL). The 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 Andrea Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Andrea Jackson affiliated with any hospitals?

According to CMS data, Andrea Jackson is affiliated with Northwestern Medicine Central Dupage Hospital.

When was this NPI record last updated?

The NPPES record for Andrea Jackson was last updated on November 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.