1. Home
  2. Directory
  3. New Jersey
  4. Lumberton
  5. Nurse Practitioner
  6. NPI Profile

SUSAN CAPRICE JACKSON PMHNP-BC
NPI 1619722972
Nurse Practitioner - Psychiatric/Mental Health in Lumberton, NJ

Active since April 20, 2024PECOS EnrolledAccepts Medicare Assignment
14 WESTMINSTER DR, LUMBERTON, NJ 08048(917) 400-5108 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 30, 2024, Apr 20, 2024 (2 updates tracked since 2024).

About Susan Caprice Jackson Pmhnp-bc NPPES

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

SUSAN CAPRICE JACKSON PMHNP-BC (NPI 1619722972) is an individual psychiatric/mental health provider in Lumberton, New Jersey, licensed in New Jersey (26NJ15059000) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1619722972
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSUSAN CAPRICE JACKSONCredential: PMHNP-BC
Location Address14 WESTMINSTER DRLumberton, NJ 08048-5064
Mailing Address14 Westminster DrLumberton, NJ 08048-5064 · (917) 400-5108
Phone(917) 400-5108
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateApril 20, 2024
Last NPPES UpdateApril 30, 20242 updates tracked since enumeration
NPPES CertifiedApril 30, 2024
✔ NPI 1619722972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NJ · 26NJ15059000
14 WESTMINSTER DR, Lumberton, NJ 08048
Open in Google Maps ↗

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

Susan Caprice Jackson Pmhnp-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 ID8022555143
PECOS Enrollment IDI20240806003596
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.

Areas of Expertise CMS Part B claims

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.

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.
31 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08048 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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

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

BEST CARE PSYCHIATRY
Nurse Practitioner (Psychiatric/Mental Health)
14 WESTMINSTER DR
LUMBERTON, NJ 08048
Burlington County (917) 400-5108

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 Susan Jackson's NPI number?

The NPI number for Susan Jackson is 1619722972. It was assigned to this individual provider in the NPPES registry on April 20, 2024.

Where is Susan Jackson located?

Susan Jackson practices at 14 Westminster Dr, Lumberton, NJ 08048. The listed phone number is (917) 400-5108.

What is Susan Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Susan Jackson enrolled in Medicare?

Yes. Susan 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.

When was this NPI record last updated?

The NPPES record for Susan Jackson was last updated on April 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.