LORA K JACKSON ARNP
NPI 1568824191
Nurse Practitioner - Family in Port Angeles, WA
About Lora K Jackson Arnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LORA K JACKSON ARNP (NPI 1568824191) is an individual family provider in Port Angeles, Washington, licensed in Washington (AP61059916) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Tacoma.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lora K Jackson Arnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98363 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORT ANGELES, WA 98363
PORT ANGELES, WA 98363
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 Lora Jackson's NPI number?
The NPI number for Lora Jackson is 1568824191. It was assigned to this individual provider in the NPPES registry on March 23, 2016.
Where is Lora Jackson located?
Lora Jackson practices at 243511 Highway 101, Port Angeles, WA 98363. The listed phone number is (360) 452-6252.
What is Lora Jackson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Lora Jackson enrolled in Medicare?
Yes. Lora Jackson is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Lora Jackson was last updated on February 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Lora K Jackson, ARNP · NPI 1568824191
Family physician in Port Angeles, Washington. Individual provider, active in the CMS NPPES registry since March 23, 2016.
## Identity
- **NPI:** 1568824191 (Entity type: Individual)
- **Enumerated:** March 23, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** AP61059916 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 243511 HIGHWAY 101, Port Angeles, WA 98363-9472
- **Phone:** (360) 452-6252
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** February 7, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1568824191) · Data from the CMS NPPES public registry.