ANDREA MICHELE JACKSON
NPI 1568945947
Nurse Practitioner in Starkville, MS
About Andrea Michele Jackson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDREA MICHELE JACKSON (NPI 1568945947) is an individual nurse practitioner in Starkville, Mississippi, licensed in Mississippi (902906) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted 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)
Andrea Michele Jackson 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 39759 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
STARKVILLE, MS 39759
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 Andrea Jackson's NPI number?
The NPI number for Andrea Jackson is 1568945947. It was assigned to this individual provider in the NPPES registry on September 11, 2018.
Where is Andrea Jackson located?
Andrea Jackson practices at 100 Wilburn Way, Starkville, MS 39759. The listed phone number is (662) 320-4008.
What is Andrea Jackson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Andrea Jackson enrolled in Medicare?
Yes. Andrea Jackson is registered in the Medicare PECOS enrollment system.
What insurance does Andrea Jackson accept?
Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Andrea 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 Andrea Jackson was last updated on September 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Andrea Michele Jackson · NPI 1568945947
Nurse Practitioner physician in Starkville, Mississippi. Individual provider, active in the CMS NPPES registry since September 11, 2018.
## Identity
- **NPI:** 1568945947 (Entity type: Individual)
- **Enumerated:** September 11, 2018
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 902906 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 WILBURN WAY, Starkville, MS 39759-3692
- **Phone:** (662) 320-4008
## 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:** September 11, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1568945947) · Data from the CMS NPPES public registry.