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MIRANDA JACKSON
NPI 1538051909
Social Worker - Clinical in Faribault, MN

Active since July 18, 2025PECOS Enrolled
410 CENTRAL AVE N, FARIBAULT, MN 55021(507) 446-0431(507) 446-8014 Get Directions Write a Review

NPPES record last updated: July 18, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Miranda Jackson NPPES

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

MIRANDA JACKSON (NPI 1538051909) is an individual clinical provider in Faribault, Minnesota and active in the NPI registry since July 2025. The provider is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1538051909
Entity TypeIndividual
Primary Taxonomy1041C0700X
Provider Legal NameMIRANDA JACKSON
Location Address410 CENTRAL AVE NFaribault, MN 55021-5217
Mailing Address2575 Harvest LnOwatonna, MN 55060-4305 · (507) 446-0431 · Fax (507) 446-8014
Phone(507) 446-0431
Fax(507) 446-8014
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 18, 2025
NPPES CertifiedJuly 18, 2025
✔ NPI 1538051909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
410 CENTRAL AVE N, Faribault, MN 55021
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miranda Jackson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1456868025
PECOS Enrollment IDI20250729000812
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 55021 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
$0.00 typical visit price
range $56.00 – $168.28
Typical copayment $0.00 (range $14.00 – $42.07)
Most-billed visit code NA
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
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 8

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

FERNBROOK FAMILY CENTER, INC
Case Management
410 CENTRAL AVE N
FARIBAULT, MN 55021
Rice County (507) 446-0431
LUCY BAQUERO OJA
Social Worker (Clinical)
410 CENTRAL AVE N
FARIBAULT, MN 55021
Rice County (507) 331-3454
KELSI ADDABBO
Marriage & Family Therapist
410 CENTRAL AVE N
FARIBAULT, MN 55021
Rice County (507) 446-0431
ASHLEY KIMMELL
Counselor (Professional)
410 CENTRAL AVE N
FARIBAULT, MN 55021
Rice County (507) 331-3454
CASSI BUDAHL
Counselor (Mental Health)
410 CENTRAL AVE N
FARIBAULT, MN 55021
Rice County (507) 446-0431
KENNEDY TODD
Social Worker (Clinical)
410 CENTRAL AVE N
FARIBAULT, MN 55021
Rice County (507) 446-0431
AMANDA TOEGEL
Social Worker (Clinical)
410 CENTRAL AVE N
FARIBAULT, MN 55021
Rice County (507) 446-0431
HALLIE COSTELLO
Social Worker (Clinical)
410 CENTRAL AVE N
FARIBAULT, MN 55021
Rice County (507) 446-0431

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 Miranda Jackson's NPI number?

The NPI number for Miranda Jackson is 1538051909. It was assigned to this individual provider in the NPPES registry on July 18, 2025.

Where is Miranda Jackson located?

Miranda Jackson practices at 410 Central Ave N, Faribault, MN 55021. The listed phone number is (507) 446-0431.

What is Miranda Jackson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Miranda Jackson enrolled in Medicare?

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

What insurance does Miranda Jackson accept?

Health plans from HealthPartners list Miranda 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 Miranda Jackson was last updated on July 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.