DR. JACKSON I NEWBERRY III
NPI 1538673116
Counselor in Mundelein, IL
About Dr. Jackson I Newberry Iii NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JACKSON I NEWBERRY III (NPI 1538673116) is an individual counselor in Mundelein, Illinois and active in the NPI registry since November 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Dr. Jackson I Newberry Iii 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 Jackson Newberry reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Sunny Isles Beach, FL 33160
- Reassigned Medicare billing, Florida enrollment
- 6 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.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jackson Newberry's NPI number?
The NPI number for Jackson Newberry is 1538673116. It was assigned to this individual provider in the NPPES registry on November 19, 2017.
Where is Jackson Newberry located?
Jackson Newberry practices at 201 E Park St Ste B, Mundelein, IL 60060. The listed phone number is (847) 262-4393.
What is Jackson Newberry's specialty?
The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.
Is Jackson Newberry enrolled in Medicare?
Yes. Jackson Newberry 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 Jackson Newberry's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jackson Newberry reassigns Medicare benefits to Silver Palm Health Psych LLC (Sunny Isles Beach, FL). 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 Jackson Newberry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jackson Newberry accept?
Health plans from Oscar Health, Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Jackson Newberry 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 Jackson Newberry was last updated on November 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Dr. Jackson I Newberry III · NPI 1538673116
Counselor provider in Mundelein, Illinois. Individual provider, active in the CMS NPPES registry since November 19, 2017.
## Identity
- **NPI:** 1538673116 (Entity type: Individual)
- **Enumerated:** November 19, 2017
- **Primary specialty:** Counselor · taxonomy 101Y00000X
- **Sole proprietor:** No
## Practice location
- **Address:** 201 E PARK ST STE B, Mundelein, IL 60060-1973
- **Phone:** (847) 262-4393
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Silver Palm Health Psych LLC (NPI 1992592786, Sunny Isles Beach, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** November 19, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1538673116) · Data from the CMS NPPES public registry.