MRS. ALISHA JACKSON FNP
NPI 1487197745
Nurse Practitioner - Family in Peru, IL

Active since November 18, 2016PECOS EnrolledAccepts Medicare Assignment
1650 MIDTOWN RD, PERU, IL 61354(815) 220-2645 Get Directions Write a Review

NPPES record last updated: November 18, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Alisha Jackson Fnp NPPES

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

MRS. ALISHA JACKSON FNP (NPI 1487197745) is an individual family provider in Peru, Illinois, licensed in Illinois (209.015095) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS, is affiliated with Saint Francis Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1487197745
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. ALISHA JACKSONCredential: FNP
Location Address1650 MIDTOWN RDPeru, IL 61354-1200
Mailing Address235 Poundstone Ave, Po Box 42Grand Ridge, IL 61325-9100 · (815) 236-0024
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateNovember 18, 2016
NPI 1487197745 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 IL · 209.015095
1650 MIDTOWN RD, Peru, IL 61354

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

Mrs. Alisha Jackson Fnp 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 ID2567715519
PECOS Enrollment IDI20181022002454
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.

Hospital Affiliations CMS Care Compare 3

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

Saint Francis Medical Center

Acute Care Hospitals · Peoria, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140067
Location530 NE Glen Oak AvePeoria, IL 61637 · Peoria County
Emergency services Birthing friendly

Osf Saint Elizabeth Mdl Ctr

Acute Care Hospitals · Ottawa, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140110
Location1100 E Norris DriveOttawa, IL 61350 · La Salle County
Emergency services Birthing friendly

Osf Saint Paul Medical Center

Critical Access Hospitals · Mendota, IL
OwnershipVoluntary non-profit - Church
CMS Certification Number141310
Location1401 E 12th StreetMendota, IL 61342 · La Salle County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61354 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 $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers19 claims74 services$6.25 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$17.71 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$107.47 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers13 claims13 services$29.19 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers12 claims12 services$215.47 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 15

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

Nurse Practitioner (Family)
1650 MIDTOWN RD
PERU, IL 61354
Nurse Practitioner (Family)
1650 MIDTOWN RD
PERU, IL 61354
Nurse Practitioner (Family)
1650 MIDTOWN RD
PERU, IL 61354
Family Medicine
1650 MIDTOWN RD
PERU, IL 61354
Nurse Practitioner (Family)
1650 MIDTOWN RD
PERU, IL 61354
Nurse Practitioner (Family)
1650 MIDTOWN RD
PERU, IL 61354
Family Medicine
1650 MIDTOWN RD
PERU, IL 61354
Clinic/Center (Rural Health)
1650 MIDTOWN RD
PERU, IL 61354

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 Alisha Jackson's NPI number?

The NPI number for Alisha Jackson is 1487197745. It was assigned to this individual provider in the NPPES registry on November 18, 2016.

Where is Alisha Jackson located?

Alisha Jackson practices at 1650 Midtown Rd, Peru, IL 61354. The listed phone number is (815) 220-2645.

What is Alisha Jackson's specialty?

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

Is Alisha Jackson enrolled in Medicare?

Yes. Alisha 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.

Is Alisha Jackson affiliated with any hospitals?

According to CMS data, Alisha Jackson is affiliated with Saint Francis Medical Center, Osf Saint Elizabeth Mdl Ctr and Osf Saint Paul Medical Center.

When was this NPI record last updated?

The NPPES record for Alisha Jackson was last updated on November 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.