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FREDERICKA JACKSON
NPI 1457993750
Nurse Practitioner - Psychiatric/Mental Health in Omaha, NE

Active since October 08, 2019PECOS EnrolledAccepts Medicare Assignment
4141 N 156TH ST STE 202, OMAHA, NE 68116(402) 242-5078(402) 508-8771 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 23, 2026, Jul 2, 2020, Oct 8, 2019 (3 updates tracked since 2019).

About Fredericka Jackson NPPES

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

FREDERICKA JACKSON (NPI 1457993750) is an individual psychiatric/mental health provider in Omaha, Nebraska, licensed in Nebraska (112991) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1457993750
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameFREDERICKA JACKSON
Location Address4141 N 156TH ST STE 202Omaha, NE 68116-1427
Mailing Address4141 N 156th St Ste 202Omaha, NE 68116-1427 · (402) 242-5078 · Fax (402) 508-8771
Phone(402) 242-5078
Fax(402) 508-8771
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 8, 2019
Last NPPES UpdateMarch 23, 20263 updates tracked since enumeration
NPPES CertifiedMarch 23, 2026
✔ NPI 1457993750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NE · 112991
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 112991 (NE)
4141 N 156TH ST STE 202, Omaha, NE 68116
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.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

Fredericka Jackson 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 ID4486071685
PECOS Enrollment IDI20200902002710
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 Fredericka Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Her Story LLC
4.1 mi
Psychiatric/Mental Health
16934 FRANCES ST, STE 101
Omaha, NE 68130
  • Reassigned Medicare billing, Nebraska enrollment
  • 8 clinicians in this Medicare group
NPI 1245808021 (402) 234-7460

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68116 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
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
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.

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 Fredericka Jackson's NPI number?

The NPI number for Fredericka Jackson is 1457993750. It was assigned to this individual provider in the NPPES registry on October 8, 2019.

Where is Fredericka Jackson located?

Fredericka Jackson practices at 4141 N 156th St Ste 202, Omaha, NE 68116. The listed phone number is (402) 242-5078.

What is Fredericka Jackson's specialty?

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

Is Fredericka Jackson enrolled in Medicare?

Yes. Fredericka 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 Fredericka Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fredericka Jackson reassigns Medicare benefits to Her Story LLC (Omaha, NE). 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 Fredericka Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Fredericka Jackson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Blue Cross and Blue Shield of Nebraska and Oscar Insurance Company and 2 other insurers list Fredericka 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 Fredericka Jackson was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.