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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: November 01, 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
Phone(859) 287-2627
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
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Jackson Stewart reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kentucky Urgent Care Walk-In Clinic
Same address
Urgent Care
241 PASADENA DR STE 110
Lexington, KY 40503
  • Reassigned Medicare billing, Kentucky enrollment
  • 16 clinicians in this Medicare group
NPI 1063123735 (313) 948-3055

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
20 services20 patients

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.

KENTUCKY URGENT CARE WALK-IN CLINIC
Clinic/Center (Urgent Care)
241 PASADENA DR STE 110
LEXINGTON, KY 40503
Fayette County (313) 948-3055
TAMARA L HULL MSN, APRN, FNP-C
Nurse Practitioner (Family)
241 PASADENA DR STE 110
LEXINGTON, KY 40503
Fayette County (859) 287-2627
JILLIAN NICOLE MACPHERSON NP
Nurse Practitioner (Family)
241 PASADENA DR STE 110
LEXINGTON, KY 40503
Fayette County (859) 287-2627

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 Jackson Stewart's NPI number?

The NPI number for Jackson Stewart is 1639918428. It was assigned to this individual provider in the NPPES registry on May 21, 2024.

Where is Jackson Stewart located?

Jackson Stewart practices at 241 Pasadena Dr Ste 110, Lexington, KY 40503. The listed phone number is (859) 287-2627.

What is Jackson Stewart's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jackson Stewart enrolled in Medicare?

Yes. Jackson Stewart 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.

Which organization bills Medicare for Jackson Stewart's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jackson Stewart reassigns Medicare benefits to Kentucky Urgent Care Walk-In Clinic (Lexington, KY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jackson Stewart's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jackson Stewart was last updated on May 21, 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.