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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DOMINIQUE ALEXIS JACKSON PMHNP-C
NPI 1487487864
Nurse Practitioner - Psychiatric/Mental Health in Clinton, MS

Active since August 22, 2024PECOS Enrolled
604 HIGHWAY 80 W STE P-1, CLINTON, MS 39056(601) 589-4854(601) 893-7096 Get Directions Write a Review

NPPES record last updated: September 24, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 24, 2026, Jul 22, 2026, Sep 26, 2024 and 1 more (4 updates tracked since 2024).

About Dominique Alexis Jackson Pmhnp-c NPPES

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

DOMINIQUE ALEXIS JACKSON PMHNP-C (NPI 1487487864) is an individual psychiatric/mental health provider in Clinton, Mississippi, licensed in Mississippi (906979) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1487487864
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDOMINIQUE ALEXIS JACKSONCredential: PMHNP-C
Location Address604 HIGHWAY 80 W STE P-1Clinton, MS 39056-4108
Mailing Address604 Highway 80 W Ste P-1Clinton, MS 39056-4108 · (601) 589-4854 · Fax (601) 893-7096
Phone(601) 589-4854
Fax(601) 893-7096
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 22, 2024
Last NPPES UpdateSeptember 24, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2026
✔ NPI 1487487864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MS · 906979
604 HIGHWAY 80 W STE P-1, Clinton, MS 39056
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.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

Dominique Alexis Jackson Pmhnp-c 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 ID941725063
PECOS Enrollment IDI20250421002767
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 39056 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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

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

STRENGTH IN SEASON COUNSELING, LLC
Counselor (Mental Health)
604 HIGHWAY 80 W STE P-1
CLINTON, MS 39056
Hinds County (601) 202-1114

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 Dominique Jackson's NPI number?

The NPI number for Dominique Jackson is 1487487864. It was assigned to this individual provider in the NPPES registry on August 22, 2024.

Where is Dominique Jackson located?

Dominique Jackson practices at 604 Highway 80 W Ste P-1, Clinton, MS 39056. The listed phone number is (601) 589-4854.

What is Dominique Jackson's specialty?

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

Is Dominique Jackson enrolled in Medicare?

Yes. Dominique 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 Dominique Jackson accept?

Health plans from Blue Cross and Blue Shield of Alabama list Dominique 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 Dominique Jackson was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.