VALERIE THRESA JACKSON
NPI 1609402304
Nurse Practitioner - Family in Canton, MS

Q: What is Valerie Jackson's NPI number?

The NPI number for Valerie Jackson is 1609402304. It was assigned to this individual provider in the NPPES registry on March 14, 2020. The provider is also known as Mrs. Valerie Thresa Jackson.

Q: What is Valerie Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Valerie Jackson was last updated on September 13, 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.

Active since March 14, 2020PECOS Enrolled

1171 HART ST, CANTON, MS 39046(601) 622-2428 Get Directions Write a Review

NPPES record last updated: September 13, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 13, 2022, Mar 14, 2020 (2 updates tracked since 2020).

On this page

About Valerie Thresa Jackson NPPES

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

VALERIE THRESA JACKSON (NPI 1609402304) is an individual family provider in Canton, Mississippi, licensed in Mississippi (9049998) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609402304

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameVALERIE THRESA JACKSON

Location Address1171 HART STCanton, MS 39046-4805

Mailing Address1171 Hart StCanton, MS 39046-4805 · (601) 622-2428

Phone(601) 622-2428

Sole ProprietorNo

Enumeration DateMarch 14, 2020

Last NPPES UpdateSeptember 13, 20222 updates tracked since enumeration

NPPES CertifiedSeptember 13, 2022

✔ NPI 1609402304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MS · 9049998

Also ListedRegistered Nurse · HemodialysisTaxonomy 163WH0500X · License R865187 (MS)

1171 HART ST, Canton, MS 39046

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Other Names 1

Former Name (1)Mrs. Valerie Thresa Jackson

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)

Valerie Thresa 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 Reassignment

Medicare enrollment records show Valerie Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Fast Pace Mississippi, PLLC

158 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

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

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

128 services62 patients

Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811

This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.

71 services69 patients

Assessment of emotional or behavioral problems 96127

Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.

63 services31 patients

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880

A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.

42 services41 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

21 services19 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39046 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 13

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

PATRICIA WHITE ROGERS LMSW

Counselor (Mental Health)

1171 HART ST
CANTON, MS 39046

Madison County (601) 859-9888

LATOYA SOJOURNEY FNP

Nurse Practitioner (Family)

1171 HART ST
CANTON, MS 39046

Madison County (601) 859-9888

OKSHOON SCOTT FNP-C

Nurse Practitioner (Family)

1171 HART ST
CANTON, MS 39046

Madison County (601) 859-9888

MS. KIARA DIONTEA MERCHANT NP

Nurse Practitioner (Family)

1171 HART ST
CANTON, MS 39046

Madison County (601) 859-9888

RUTH A CHONG FNP

Nurse Practitioner (Family)

1171 HART ST
CANTON, MS 39046

Madison County (601) 859-9888

PSP MEDICAL CLINIC LLC

Clinic/Center (Rural Health)

1171 HART ST
CANTON, MS 39046

Madison County (601) 859-9888

GOEL DIAGNOSTIC

Clinical Medical Laboratory

1171 HART ST
CANTON, MS 39046

Madison County (601) 859-9888

MRS. TONYA H. QUINN FNP

Nurse Practitioner (Family)

1171 HART ST
CANTON, MS 39046

Madison County (601) 859-9888

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 Valerie Jackson's NPI number?

The NPI number for Valerie Jackson is 1609402304. It was assigned to this individual provider in the NPPES registry on March 14, 2020. The provider is also known as Mrs. Valerie Thresa Jackson.

Where is Valerie Jackson located?

Valerie Jackson practices at 1171 Hart St, Canton, MS 39046. The listed phone number is (601) 622-2428.

What is Valerie Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Valerie Jackson enrolled in Medicare?

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

Which organization bills Medicare for Valerie Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Valerie Jackson reassigns Medicare benefits to Fast Pace Mississippi, PLLC (Ripley, MS). 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 Valerie Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Valerie Jackson accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee list Valerie 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 Valerie Jackson was last updated on September 13, 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.