MAYBELLE F. JACKSON NP
NPI 1639279920
Nurse Practitioner - Family in Jackson, MS

NPI Status: Active since September 25, 2006

Contact Information

1500 E WOODROW WILSON AVE
JACKSON, MS
ZIP 39216
Phone: (601) 362-4471

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  • Individual
  • Female
  • Nurse Practitioner
  • Family
  • PECOS Enrolled

About MAYBELLE JACKSON

This page provides the complete NPI Profile along with additional information for Maybelle Jackson, a provider established in Jackson, Mississippi with a medical specialization in Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1639279920 assigned on September 2006. The practitioner's primary taxonomy code is 363LF0000X with license number R672947 (MS). The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI
1639279920
Provider Name
MAYBELLE F. JACKSON NP
Gender
Female
Entity Type
Individual
Location Address
1500 E WOODROW WILSON AVE JACKSON, MS 39216
Location Phone
(601) 362-4471
Mailing Address
45 SARAGOSSA RD NATCHEZ, MS 39120
Mailing Phone
(601) 445-9942
Is Sole Proprietor?
No
Enumeration Date
09-25-2006
Last Update Date
07-08-2007
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A nurse practitioner (NP) like Maybelle Jackson is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
R672947
License State
MS

Medicare Participation & PECOS Enrollment Status

Maybelle Jackson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 39216 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $80.5
  • Minimum New Patient Price $51.65
  • Maximum New Patient Price $159.18
  • Average New Patient Copayment $20.12
  • Minimum New Patient Copayment $12.91
  • Maximum New Patient Copayment $39.79

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $92.2
  • Minimum Established Patient Price $16.15
  • Maximum Established Patient Price $129.61
  • Average Established Patient Copayment $23.05
  • Minimum Established Patient Copayment $4.03
  • Maximum Established Patient Copayment $32.4

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1639279920
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2669471894
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 4 + 7 + 1 + 8 + 9 + 4 + 24 = 80
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1639279920 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

REBECCA B CLANTON N.P.

Nurse Practitioner

(Family)

1500 E WOODROW WILSON AVE
JACKSON, MS
ZIP 39216

(601) 364-1558

MR. JAMES HERMAN WHELAN RPH

Pharmacist

1500 E WOODROW WILSON AVE
PHARMACY SERVICE (119)
JACKSON, MS
ZIP 39216

(601) 364-1555

DR. LEAH MICHELLE RUSSELL PHARM.D.

Pharmacist

(Pharmacotherapy)

1500 E WOODROW WILSON AVE
JACKSON, MS
ZIP 39216

(601) 919-2403

DR. JOSEPH H ROBINSON MD

Dermatology

1500 E WOODROW WILSON AVE
JACKSON, MS
ZIP 39216

(601) 362-4471

DR. ROBERT EMMETT LYNCH II M.D.

Internal Medicine

1500 E WOODROW WILSON AVE
JACKSON, MS
ZIP 39216

(601) 364-7901

DR. BARBARA ANN FEDOR MD

Internal Medicine

1500 E WOODROW WILSON AVE
JACKSON, MS
ZIP 39216

(601) 363-4471

DR. TAWFIQ IFTEKHAR KHANSUR M.D

Internal Medicine

(Hematology & Oncology)

1500 E WOODROW WILSON AVE
JACKSON, MS
ZIP 39216

(601) 364-4471

DR. RAY V KIMBLE MD

Psychiatry & Neurology

(Psychiatry)

1500 E WOODROW WILSON AVE
JACKSON, MS
ZIP 39216

(601) 362-4471

JO LURESA HARBOUR MD

Internal Medicine

1500 E WOODROW WILSON AVE
G.V. (SONNY) MONTGOMERY VAMC (111-P)
JACKSON, MS
ZIP 39216

(601) 362-4471

DR. JOSE SANTIAGO SUBAUSTE M.D.

Internal Medicine

(Endocrinology, Diabetes & Metabolism)

1500 E WOODROW WILSON AVE
R&E BUILDING (151) - VAMC
JACKSON, MS
ZIP 39216

(601) 362-4471

DR. GURDIAL S SANDHU M.D.

Psychiatry & Neurology

(Psychiatry)

1500 E WOODROW WILSON AVE
JACKSON, MS
ZIP 39216

(601) 362-4471

GRANT KEITH LOFTON CFNP

Nurse Practitioner

(Primary Care)

1500 E WOODROW WILSON AVE
JACKSON, MS
ZIP 39216

(601) 362-4471

LUCRETIA ROSS CRAFT RN, FNP

Nurse Practitioner

(Family)

1500 E WOODROW WILSON AVE
JACKSON, MS
ZIP 39216

(601) 362-4471

DR. DONALD E. SAWYER M.D.

Urology

1500 E WOODROW WILSON AVE
SURGICAL SERVICE 112
JACKSON, MS
ZIP 39216

(601) 364-1358

DR. SAMUEL MILTON RICHARDSON III M.D.

Emergency Medicine

1500 E WOODROW WILSON AVE
JACKSON, MS
ZIP 39216

(601) 362-4471

DR. ETHEL S. ROSE MD

Psychiatry & Neurology

(Neurology)

1500 E WOODROW WILSON AVE
VAMC, 127
JACKSON, MS
ZIP 39216

(601) 364-1285

DR. SHARON PATRICIA DOUGLAS M.D.

Internal Medicine

(Pulmonary Disease)

1500 E WOODROW WILSON AVE
14A
JACKSON, MS
ZIP 39216

(601) 364-1463

JEAN H MELTON NP

Nurse Practitioner

(Family)

1500 E WOODROW WILSON AVE
JACKSON, MS
ZIP 39216

(601) 362-4471

MRS. LISA GERALDINE LANGLEY NP

Nurse Practitioner

(Family)

1500 E WOODROW WILSON AVE
JACKSON, MS
ZIP 39216

(601) 362-4471

DR. DAVID CHARLES SNYDER M.D.

Surgery

1500 E WOODROW WILSON AVE
DEPT OF SURGERY
JACKSON, MS
ZIP 39216

(601) 362-4471

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639279920, enumerated as an "individual" on September 25, 2006.

The provider is located at 1500 E WOODROW WILSON AVE JACKSON, MS 39216 and the phone number is (601) 362-4471.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.