MS. ANITRA L JACKSON NP
NPI 1497718811
Registered Nurse - Medical-Surgical in Saint Paul, MN
About Ms. Anitra L Jackson Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. ANITRA L JACKSON NP (NPI 1497718811) is an individual medical-surgical provider in Saint Paul, Minnesota, licensed in Minnesota (R1308387) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Wisconsin School Of Medicine (1999).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ms. Anitra L Jackson Np 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.
Medicare Billing Reassignment
Medicare enrollment records show Anitra Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Cumming, GA 30040
- Reassigned Medicare billing, Georgia enrollment
- 15 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
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.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAINT PAUL, MN 55102
SAINT PAUL, MN 55102
SAINT PAUL, MN 55102
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 Anitra Jackson's NPI number?
The NPI number for Anitra Jackson is 1497718811. It was assigned to this individual provider in the NPPES registry on April 7, 2006.
Where is Anitra Jackson located?
Anitra Jackson practices at 310 Smith Ave N, Saint Paul, MN 55102. The listed phone number is (952) 843-4333.
What is Anitra Jackson's specialty?
The primary specialty registered for this NPI is Registered Nurse, specializing in Medical-Surgical, with taxonomy code 163WM0705X.
Is Anitra Jackson enrolled in Medicare?
Yes. Anitra 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.
Which organization bills Medicare for Anitra Jackson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Anitra Jackson reassigns Medicare benefits to Rehabilitation Physicians Of Georgia, P.C. (Cumming, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Anitra Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Anitra Jackson was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Ms. Anitra L Jackson, NP · NPI 1497718811
Medical-Surgical provider in Saint Paul, Minnesota. Individual provider, active in the CMS NPPES registry since April 7, 2006.
## Identity
- **NPI:** 1497718811 (Entity type: Individual)
- **Enumerated:** April 7, 2006
- **Primary specialty:** Registered Nurse - Medical-Surgical · taxonomy 163WM0705X
- **State license:** R1308387 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 310 SMITH AVE N, Saint Paul, MN 55102-2393
- **Phone:** (952) 843-4333 · **Fax:** (952) 843-4301
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Rehabilitation Physicians Of Georgia, P.C. (NPI 1144365750, Cumming, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Wisconsin School Of Medicine, class of 1999
## Record status
- **NPPES last updated:** July 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1497718811) · Data from the CMS NPPES public registry.