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

Q: What is Maybelle Jackson's NPI number?

The NPI number for Maybelle Jackson is 1639279920. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Q: What is Maybelle 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 Maybelle Jackson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 September 25, 2006PECOS Enrolled

1500 E WOODROW WILSON AVE, JACKSON, MS 39216(601) 362-4471 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 08, 2026.

On this page

About Maybelle F. Jackson Np NPPES

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

MAYBELLE F. JACKSON NP (NPI 1639279920) is an individual family provider in Jackson, Mississippi, licensed in Mississippi (R672947) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639279920

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMAYBELLE F. JACKSONCredential: NP

Location Address1500 E WOODROW WILSON AVEJackson, MS 39216-5116

Mailing Address45 Saragossa RdNatchez, MS 39120-8663 · (601) 445-9942

Phone(601) 362-4471

Sole ProprietorNo

Enumeration DateSeptember 25, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1639279920 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 MS · R672947

1500 E WOODROW WILSON AVE, Jackson, MS 39216

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maybelle F. Jackson Np 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39216 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 20

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

MELISSA ALLENE GRAIG RN

Registered Nurse