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MATT JACKSON AGAC NP- BC
NPI 1619419793
Nurse Practitioner in Chicago, IL

Active since November 07, 2016PECOS EnrolledAccepts Medicare Assignment
676 N SAINT CLAIR ST STE 650, CHICAGO, IL 60611(312) 695-3800(312) 695-3644 Get Directions Write a Review

NPPES record last updated: January 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 28, 2026, Nov 7, 2016 (2 updates tracked since 2016).

About Matt Jackson Agac Np- Bc NPPES

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

MATT JACKSON AGAC NP- BC (NPI 1619419793) is an individual nurse practitioner in Chicago, Illinois, licensed in Illinois (209015073) and active in the NPI registry since November 2016. He is enrolled in Medicare PECOS, is affiliated with Northwestern Memorial Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1619419793
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMATT JACKSONCredential: AGAC NP- BC
Location Address676 N SAINT CLAIR ST STE 650Chicago, IL 60611-2929
Mailing Address676 N Saint Clair St Ste 650Chicago, IL 60611-2929 · (312) 695-3800 · Fax (312) 695-3644
Phone(312) 695-3800
Fax(312) 695-3644
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateNovember 7, 2016
Last NPPES UpdateJanuary 28, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2026
✔ NPI 1619419793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209015073
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.
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 209.015073 (IL)
676 N SAINT CLAIR ST STE 650, Chicago, IL 60611
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Matt Jackson Agac Np- Bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870872708
PECOS Enrollment IDI20161117001247
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northwestern Memorial Hospital

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140281
Location251 E Huron StChicago, IL 60611 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 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 15

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

KAREN J. HO M.D.
Surgery (Vascular Surgery)
676 N SAINT CLAIR ST STE 650
CHICAGO, IL 60611
Cook County (312) 926-7775
LAUREN ELLEN SKALITZKY PA-C
Physician Assistant (Surgical)
676 N SAINT CLAIR ST STE 650
CHICAGO, IL 60611
Cook County (630) 802-6797
DR. MICHAEL J SUTHERLAND MD
Surgery (Trauma Surgery)
676 N SAINT CLAIR ST STE 650
CHICAGO, IL 60611
Cook County (312) 695-4835
SARAH BELL MORRIS APRN, CNP
Nurse Practitioner
676 N SAINT CLAIR ST STE 650
CHICAGO, IL 60611
Cook County (312) 695-4835
MELISSA ANN MULLENS PA-C
Physician Assistant
676 N SAINT CLAIR ST STE 650
CHICAGO, IL 60611
Cook County (312) 926-0159
TAL TOVY PA-C
Physician Assistant
676 N SAINT CLAIR ST STE 650
CHICAGO, IL 60611
Cook County (312) 695-4835
NICOLE MEREDYTH
Surgery (Trauma Surgery)
676 N SAINT CLAIR ST STE 650
CHICAGO, IL 60611
Cook County (312) 695-4835
EMMA C PIRE APRN, CNP
Nurse Practitioner
676 N SAINT CLAIR ST STE 650
CHICAGO, IL 60611
Cook County (312) 695-3800

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 Matt Jackson's NPI number?

The NPI number for Matt Jackson is 1619419793. It was assigned to this individual provider in the NPPES registry on November 7, 2016.

Where is Matt Jackson located?

Matt Jackson practices at 676 N Saint Clair St Ste 650, Chicago, IL 60611. The listed phone number is (312) 695-3800.

What is Matt Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Matt Jackson enrolled in Medicare?

Yes. Matt Jackson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Matt Jackson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Matt 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.

Is Matt Jackson affiliated with any hospitals?

According to CMS data, Matt Jackson is affiliated with Northwestern Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Matt Jackson was last updated on January 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.