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MRS. RACHEL MOORE JACKSON APN
NPI 1619038395
Nurse Practitioner - Family in Chicago, IL

Active since December 13, 2006PECOS Enrolled
2020 W HARRISON ST, CHICAGO, IL 60612(312) 572-4554(312) 572-4559 Get Directions Write a Review

NPPES record last updated: October 31, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mrs. Rachel Moore Jackson Apn NPPES

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

MRS. RACHEL MOORE JACKSON APN (NPI 1619038395) is an individual family provider in Chicago, Illinois, licensed in Illinois (209004742) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1619038395
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. RACHEL MOORE JACKSONCredential: APN
Location Address2020 W HARRISON STChicago, IL 60612-3741
Mailing Address2020 W Harrison StChicago, IL 60612-3741 · (312) 572-4554 · Fax (312) 572-4559
Phone(312) 572-4554
Fax(312) 572-4559
Sole ProprietorNo
Enumeration DateDecember 13, 2006
Last NPPES UpdateOctober 31, 2025
NPPES CertifiedOctober 31, 2025
✔ NPI 1619038395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209004742
2020 W HARRISON ST, Chicago, IL 60612
Open in Google Maps ↗

Secondary Practice Location 1

Location 1835 S Wolcott AveChicago, IL 60612-3748 · Phone (312) 413-5897

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Rachel Moore Jackson Apn 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 Rachel Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Board Of Trustees Of The University Of Illinois
0.3 mi
Occupational Medicine
835 S. WOLCOTT, SUITE E-144; MC 684
Chicago, IL 60612
  • Reassigned Medicare billing, Illinois enrollment
  • 2,127 clinicians in this Medicare group
NPI 1043727571 (312) 996-7420

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 60612 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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 20

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

MS. ISHANTE NORRIS NURSE PRACTITIONER
Nurse Practitioner (Family)
2020 W HARRISON ST
CHICAGO, IL 60612
Cook County (773) 389-8832
DR. JUDIYNN BULT PHARMD,BCPS
Pharmacist
2020 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 572-4888
NEHA CHIKANI
Pharmacist
2020 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 572-4885
MS. MELODY BATHER-GARDNER MA, MISA II
Counselor (Addiction (Substance Use Disorder))
2020 W HARRISON ST, 226
CHICAGO, IL 60612
Cook County (312) 572-4518
JOHN ALLEN KOWALSKI
Internal Medicine (Infectious Disease)
2020 W HARRISON ST, SUITE 1266
CHICAGO, IL 60612
Cook County (312) 572-4739
IXCHELL YANET ORTIZ ESTES NP
Nurse Practitioner (Pediatrics)
2020 W HARRISON ST
CHICAGO, IL 60612
Cook County (773) 572-4596
MS. ROSEMARY JUAREZ PACYGA FNP, NP-C, MS
Nurse Practitioner (Family)
2020 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 572-4680
DR. HAMID BOUIRI PHARM.D
Pharmacist
2020 W HARRISON ST, 2020 WEST HARRISON STREET
CHICAGO, IL 60612
Cook County (312) 572-4887

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 Rachel Jackson's NPI number?

The NPI number for Rachel Jackson is 1619038395. It was assigned to this individual provider in the NPPES registry on December 13, 2006.

Where is Rachel Jackson located?

Rachel Jackson practices at 2020 W Harrison St, Chicago, IL 60612. The listed phone number is (312) 572-4554.

What is Rachel Jackson's specialty?

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

Is Rachel Jackson enrolled in Medicare?

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

Which organization bills Medicare for Rachel Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rachel Jackson reassigns Medicare benefits to The Board Of Trustees Of The University Of Illinois (Chicago, IL). 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 Rachel Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Rachel Jackson was last updated on October 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.