1. Home
  2. Directory
  3. Arkansas
  4. Little Rock
  5. Nurse Practitioner
  6. NPI Profile

SHAKEYAH JACKSON
NPI 1467151902
Nurse Practitioner - Family in Little Rock, AR

Active since February 23, 2023PECOS EnrolledAccepts Medicare Assignment
4301 W MARKHAM ST # 547-05, LITTLE ROCK, AR 72205(501) 686-6086(501) 686-5328 Get Directions Write a Review

NPPES record last updated: April 19, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 27, 2023, Feb 23, 2023 (2 updates tracked since 2023).

About Shakeyah Jackson NPPES

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

SHAKEYAH JACKSON (NPI 1467151902) is an individual family provider in Little Rock, Arkansas, licensed in Arkansas (125410) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1467151902
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHAKEYAH JACKSON
Location Address4301 W MARKHAM ST # 547-05Little Rock, AR 72205-7101
Mailing Address4301 W Markham St # 783Little Rock, AR 72205-7101 · (501) 614-2006
Phone(501) 686-6086
Fax(501) 686-5328
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 23, 2023
Last NPPES UpdateApril 19, 20232 updates tracked since enumeration
NPPES CertifiedApril 19, 2023
✔ NPI 1467151902 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 AR · 125410
4301 W MARKHAM ST # 547-05, Little Rock, AR 72205
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.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

Shakeyah 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 ID4789049305
PECOS Enrollment IDI20230503001084
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

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.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
41 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72205 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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 Shakeyah Jackson's NPI number?

The NPI number for Shakeyah Jackson is 1467151902. It was assigned to this individual provider in the NPPES registry on February 23, 2023.

Where is Shakeyah Jackson located?

Shakeyah Jackson practices at 4301 W Markham St # 547-05, Little Rock, AR 72205. The listed phone number is (501) 686-6086.

What is Shakeyah Jackson's specialty?

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

Is Shakeyah Jackson enrolled in Medicare?

Yes. Shakeyah 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 Shakeyah Jackson accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Shakeyah 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 Shakeyah Jackson was last updated on April 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.