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MS. LISA LANETTE JACKSON APN
NPI 1497828826
Nurse Practitioner - Family in Lewisville, AR

Active since November 15, 2006PECOS Enrolled
1117 CHESTNUT ST, LEWISVILLE, AR 71845(870) 921-5781(870) 798-4100 Get Directions Write a Review

NPPES record last updated: May 29, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Lisa Lanette Jackson Apn NPPES

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

MS. LISA LANETTE JACKSON APN (NPI 1497828826) is an individual family provider in Lewisville, Arkansas, licensed in Arkansas (A02932 ANP) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497828826
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. LISA LANETTE JACKSONCredential: APN
Location Address1117 CHESTNUT STLewisville, AR 71845
Mailing Address1117 ChestnutLewisville, AR 71845-1117 · (870) 921-5781 · Fax (870) 798-4100
Phone(870) 921-5781
Fax(870) 798-4100
Sole ProprietorYes
Enumeration DateNovember 15, 2006
Last NPPES UpdateMay 29, 2015
✔ NPI 1497828826 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 AR · A02932 ANP
1117 CHESTNUT ST, Lewisville, AR 71845
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Other Names 1

Former Name (1)Ms. Lisa Lanette Smith

Other Identifiers 1

Medicaid202614758AR

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Lisa Lanette Jackson Apn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 71845 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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 6

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
8 suppliers23 claims69 services$6.51 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers16 claims24 services$1.23 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$16.15 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers25 claims25 services$7.90 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers15 claims15 services$39.64 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
2 suppliers49 claims49 services$102.02 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 Lisa Jackson's NPI number?

The NPI number for Lisa Jackson is 1497828826. It was assigned to this individual provider in the NPPES registry on November 15, 2006. The provider is also known as Ms. Lisa Lanette Smith.

Where is Lisa Jackson located?

Lisa Jackson practices at 1117 Chestnut St, Lewisville, AR 71845. The listed phone number is (870) 921-5781.

What is Lisa Jackson's specialty?

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

Is Lisa Jackson enrolled in Medicare?

Yes. Lisa Jackson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lisa Jackson was last updated on May 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.