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AMANI AYISHA JACKSON
NPI 1639742158
Counselor - Professional in Fairbanks, AK

Active since July 22, 2021PECOS EnrolledAccepts Medicare Assignment
1825 MARIKA RD, FAIRBANKS, AK 99709(907) 474-0890 Get Directions Write a Review

NPPES record last updated: May 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 9, 2024, Jul 22, 2021 (2 updates tracked since 2021).

About Amani Ayisha Jackson NPPES

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

AMANI AYISHA JACKSON (NPI 1639742158) is an individual professional provider in Fairbanks, Alaska, licensed in Alaska (222527) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1639742158
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameAMANI AYISHA JACKSON
Location Address1825 MARIKA RDFairbanks, AK 99709-5521
Mailing Address6631 E 9th AveAnchorage, AK 99504-1725 · (305) 994-4251
Phone(907) 474-0890
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 22, 2021
Last NPPES UpdateMay 9, 20242 updates tracked since enumeration
NPPES CertifiedMay 9, 2024
✔ NPI 1639742158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in AK · 222527
Also ListedCommunity Health WorkerTaxonomy 172V00000X
1825 MARIKA RD, Fairbanks, AK 99709
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.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

Amani Ayisha Jackson 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 ID5092246421
PECOS Enrollment IDI20241009001050
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.

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.

JOHN DUNCAN
Counselor
1825 MARIKA RD
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 474-0890
RACHAEL ELIZABETH TAYLOR
Community Health Worker
1825 MARIKA RD
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 474-0890
MR. VERNON GENE ROHRER
Counselor
1825 MARIKA RD
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 474-0890
RACHEL HOUSER
Community Health Worker
1825 MARIKA RD
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 474-0890
AMBER LOVEN-GREE
Counselor
1825 MARIKA RD
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 474-0890
KYLE BOCK
Counselor
1825 MARIKA RD
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 474-0890
NATALIE CALHOUN
Community Health Worker
1825 MARIKA RD
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 474-0890
MRS. CANDACE ALEXIS BLACKWOOD MS
Counselor (Mental Health)
1825 MARIKA RD
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 474-0890

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 Amani Jackson's NPI number?

The NPI number for Amani Jackson is 1639742158. It was assigned to this individual provider in the NPPES registry on July 22, 2021.

Where is Amani Jackson located?

Amani Jackson practices at 1825 Marika Rd, Fairbanks, AK 99709. The listed phone number is (907) 474-0890.

What is Amani Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Amani Jackson enrolled in Medicare?

Yes. Amani 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 Amani Jackson accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Amani 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.

When was this NPI record last updated?

The NPPES record for Amani Jackson was last updated on May 9, 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.