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ANDREA MICHELE JACKSON
NPI 1568945947
Nurse Practitioner in Starkville, MS

Active since September 11, 2018PECOS Enrolled
100 WILBURN WAY, STARKVILLE, MS 39759(662) 320-4008 Get Directions Write a Review

NPPES record last updated: September 11, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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

NPI1568945947
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameANDREA MICHELE JACKSON
Location Address100 WILBURN WAYStarkville, MS 39759-3692
Mailing Address100 Wilburn WayStarkville, MS 39759-3692 · (662) 320-4008
Phone(662) 320-4008
Sole ProprietorNo
Enumeration DateSeptember 11, 2018
✔ NPI 1568945947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MS · 902906
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
100 WILBURN WAY, Starkville, MS 39759
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrea Michele Jackson 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Andrea Jackson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Waldrop Chiropractic And Wellness, PLLC
4.5 mi
Chiropractor
521 S MONTGOMERY ST STE 3
Starkville, MS 39759
  • Reassigned Medicare billing, Mississippi enrollment
  • 7 clinicians in this Medicare group
NPI 1033420328 (662) 546-4400
Fast Pace Mississippi, PLLC
90 mi
Rural Health
517 CITY AVE S
Ripley, MS 38663
  • Reassigned Medicare billing, Mississippi enrollment
  • 463 clinicians in this Medicare group
NPI 1447769559 (662) 587-8206
Signify Health, LLC
463 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Mississippi enrollment
  • 202 clinicians in this Medicare group
NPI 1689158487 (469) 466-7007

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

New Patient
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

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.

MRS. MAMIE M KOSKO NP
Nurse Practitioner (Family)
100 WILBURN WAY
STARKVILLE, MS 39759
Oktibbeha County (662) 320-4008
CATHERINE ELDRIDGE FNP
Nurse Practitioner (Family)
100 WILBURN WAY
STARKVILLE, MS 39759
Oktibbeha County (662) 498-1400
MRS. HELEN BRINKLEY BOHON
Registered Nurse
100 WILBURN WAY
STARKVILLE, MS 39759
Oktibbeha County (662) 498-1400
DR. WILLIAM TODD SMITH M.D.
Orthopaedic Surgery
100 WILBURN WAY
STARKVILLE, MS 39759
Oktibbeha County (662) 320-4008
W. TODD SMITH, M.D., P.A.
Orthopaedic Surgery
100 WILBURN WAY
STARKVILLE, MS 39759
Oktibbeha County (662) 320-4008
GOLDEN TRIANGLE GERIATRIC COLLABORATIVE, LLC
Clinical Nurse Specialist (Gerontology)
100 WILBURN WAY
STARKVILLE, MS 39759
Oktibbeha County (662) 320-4008
MARY K ATKINSON-SMITH CNP
Nurse Practitioner (Psychiatric/Mental Health)
100 WILBURN WAY
STARKVILLE, MS 39759
Oktibbeha County (662) 320-4008
STARKVILLE ORTHOPEDIC CLINIC, LLC
Specialist
100 WILBURN WAY
STARKVILLE, MS 39759
Oktibbeha County (662) 320-4008

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.

Which organizations bill Medicare for Andrea Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Jackson reassigns Medicare benefits to 3 organizations: Waldrop Chiropractic And Wellness, PLLC (Starkville, MS), Fast Pace Mississippi, PLLC (Ripley, MS) and Signify Health, LLC (Dallas, TX). Each 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 Andrea Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrea Jackson accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, 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 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.