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ALYSSA JANE JACKSON
NPI 1487266078
Nurse Practitioner - Family in Sebeka, MN

Active since August 17, 2020PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: February 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 5, 2024, Sep 28, 2021, Oct 22, 2020 and 2 more (5 updates tracked since 2020).

About Alyssa Jane Jackson NPPES

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

ALYSSA JANE JACKSON (NPI 1487266078) is an individual family provider in Sebeka, Minnesota, licensed in Minnesota (7592) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS, is affiliated with Astera Health, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1487266078
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameALYSSA JANE JACKSON
Location Address106 MN AVESebeka, MN 56477
Mailing Address106 Mn AveSebeka, MN 56477 · (218) 837-5333
Phone(218) 837-5333
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 17, 2020
Last NPPES UpdateFebruary 5, 20245 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2024
✔ NPI 1487266078 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
Licenses✔ Licensed in MN · 7592✔ Licensed in ND · R49629
106 MN AVE, Sebeka, MN 56477
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan.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

Alyssa Jane 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 ID5799195285
PECOS Enrollment IDI20201112001433
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

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

Astera Health

Critical Access Hospitals · Wadena, MN
OwnershipVoluntary non-profit - Other
CMS Certification Number241354
Location421 11th Street NWWadena, MN 56482 · Wadena County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56477 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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 2

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
2 suppliers15 claims27 services$4.64 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
2 suppliers15 claims1,020 services$0.09 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Alyssa Jackson's NPI number?

The NPI number for Alyssa Jackson is 1487266078. It was assigned to this individual provider in the NPPES registry on August 17, 2020.

Where is Alyssa Jackson located?

Alyssa Jackson practices at 106 Mn Ave, Sebeka, MN 56477. The listed phone number is (218) 837-5333.

What is Alyssa Jackson's specialty?

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

Is Alyssa Jackson enrolled in Medicare?

Yes. Alyssa 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 Alyssa Jackson accept?

Health plans from Medica and Sanford Health Plan list Alyssa 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 Alyssa Jackson affiliated with any hospitals?

According to CMS data, Alyssa Jackson is affiliated with Astera Health.

When was this NPI record last updated?

The NPPES record for Alyssa Jackson was last updated on February 5, 2024. 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.