JACKSON STEWART NP
NPI 1639918428
Nurse Practitioner in Lexington, KY

Active since May 21, 2024PECOS EnrolledAccepts Medicare Assignment
241 PASADENA DR STE 110, LEXINGTON, KY 40503(859) 287-2627 Get Directions Write a Review

NPPES record last updated: May 21, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jackson Stewart Np NPPES

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

JACKSON STEWART NP (NPI 1639918428) is an individual nurse practitioner in Lexington, Kentucky, licensed in Kentucky (4020433) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1639918428
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameJACKSON STEWARTCredential: NP
Location Address241 PASADENA DR STE 110Lexington, KY 40503-3061
Mailing Address14671 Telegraph RdRedford, MI 48239-3300 · (313) 948-3055
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 21, 2024
NPPES CertifiedMay 21, 2024
NPI 1639918428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in KY · 4020433
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.

241 PASADENA DR STE 110, Lexington, KY 40503

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

Jackson Stewart Np 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 ID7416490511
PECOS Enrollment IDI20240618000501
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 40503 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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 3

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

Clinic/Center (Urgent Care)
241 PASADENA DR STE 110
LEXINGTON, KY 40503
Nurse Practitioner (Family)
241 PASADENA DR STE 110
LEXINGTON, KY 40503
Nurse Practitioner (Family)
241 PASADENA DR STE 110
LEXINGTON, KY 40503

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639918428, enumerated as an "individual" on May 21, 2024.

The provider is located at 241 PASADENA DR STE 110 LEXINGTON, KY 40503 and the phone number is (859) 287-2627.

Nurse Practitioner with taxonomy code 363L00000X.