RAVEN NEAL-JACKSON
NPI 1487357729
Nurse Practitioner - Psychiatric/Mental Health in Maumee, OH

Active since March 24, 2023PECOS EnrolledAccepts Medicare Assignment
1655 HOLLAND RD, MAUMEE, OH 43537(833) 510-4357 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 18, 2025, Jun 2, 2023, Mar 27, 2023 and 1 more (4 updates tracked since 2023).

About Raven Neal-jackson NPPES

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

RAVEN NEAL-JACKSON (NPI 1487357729) is an individual psychiatric/mental health provider in Maumee, Ohio, licensed in Ohio (APRN.CNP.0035788) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Cleveland Heights, and is a graduate of University Of Toledo College Of Medicine (2021).

NPPES Registry Identity

NPI1487357729
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameRAVEN NEAL-JACKSON
Location Address1655 HOLLAND RDMaumee, OH 43537-1656
Mailing Address4600 Montgomery Rd Ste 400Cincinnati, OH 45212-2600 · (513) 873-1269
Sole ProprietorYes
Medical School CMSUniversity Of Toledo College Of MedicineGraduated 2021
Enumeration DateMarch 24, 2023
Last NPPES UpdateJune 18, 20254 updates tracked since enumeration
NPPES CertifiedJune 18, 2025
NPI 1487357729 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 OH · APRN.CNP.0035788
Also ListedRegistered NurseTaxonomy 163W00000X · License RN.492340 (OH)
1655 HOLLAND RD, Maumee, OH 43537

Secondary Practice Location 1

Location 12141 Overlook RdCleveland Heights, OH 44106-5995 · Phone (888) 364-5977 ext. 2700

Accepted 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

Raven Neal-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 ID2668909391
PECOS Enrollment IDI20241219001782
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43537 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES 10

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

Counselor (Addiction (Substance Use Disorder))
1655 HOLLAND RD
MAUMEE, OH 43537
Registered Nurse
1655 HOLLAND RD
MAUMEE, OH 43537
Family Medicine (Adult Medicine)
1655 HOLLAND RD, SUITE D
MAUMEE, OH 43537
Registered Nurse
1655 HOLLAND RD
MAUMEE, OH 43537
Counselor (Addiction (Substance Use Disorder))
1655 HOLLAND RD
MAUMEE, OH 43537
Nurse Practitioner (Gerontology)
1655 HOLLAND RD
MAUMEE, OH 43537
Counselor (Addiction (Substance Use Disorder))
1655 HOLLAND RD
MAUMEE, OH 43537
Counselor (Addiction (Substance Use Disorder))
1655 HOLLAND RD
MAUMEE, OH 43537

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 Raven Neal-jackson's NPI number?

The NPI number for Raven Neal-jackson is 1487357729. It was assigned to this individual provider in the NPPES registry on March 24, 2023.

Where is Raven Neal-jackson located?

Raven Neal-jackson practices at 1655 Holland Rd, Maumee, OH 43537. The listed phone number is (833) 510-4357.

What is Raven Neal-jackson's specialty?

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

Is Raven Neal-jackson enrolled in Medicare?

Yes. Raven Neal-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 Raven Neal-jackson accept?

Health plans from CareSource, Molina Healthcare, Oscar Health Insurance and Oscar Insurance Corporation of Ohio list Raven Neal-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 Raven Neal-jackson was last updated on June 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.