HEATHER LEE JACKSON CNM, MSN
NPI 1669090049
Advanced Practice Midwife in Portage, IN

Active since July 11, 2020PECOS EnrolledAccepts Medicare Assignment
6050 STERLING CREEK RD, PORTAGE, IN 46368(219) 763-8112(219) 764-5333 Get Directions Write a Review

NPPES record last updated: March 17, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 17, 2025, Aug 8, 2024, Aug 8, 2023 and 4 more (7 updates tracked since 2020).

About Heather Lee Jackson Cnm, Msn NPPES

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

HEATHER LEE JACKSON CNM, MSN (NPI 1669090049) is an individual advanced practice midwife in Portage, Indiana, licensed in Indiana (71010201A) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1669090049
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameHEATHER LEE JACKSONCredential: CNM, MSN
Location Address6050 STERLING CREEK RDPortage, IN 46368-7752
Mailing Address6050 Sterling Creek RdPortage, IN 46368-7752 · (219) 763-8112 · Fax (219) 764-5333
Fax(219) 764-5333
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 11, 2020
Last NPPES UpdateMarch 17, 20257 updates tracked since enumeration
NPPES CertifiedMarch 17, 2025
NPI 1669090049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
License Licensed in IN · 71010201A
Definition

Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.

6050 STERLING CREEK RD, Portage, IN 46368

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

Heather Lee Jackson Cnm, Msn 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 ID3173933934
PECOS Enrollment IDI20201105001481
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 46368 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
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.

Chiropractor
6050 STERLING CREEK RD
PORTAGE, IN 46368
Chiropractor
6050 STERLING CREEK RD
PORTAGE, IN 46368
Obstetrics & Gynecology
6050 STERLING CREEK RD
PORTAGE, IN 46368
Social Worker (Clinical)
6050 STERLING CREEK RD
PORTAGE, IN 46368
Dentist
6050 STERLING CREEK RD
PORTAGE, IN 46368
Family Medicine
6050 STERLING CREEK RD
PORTAGE, IN 46368
Family Medicine
6050 STERLING CREEK RD
PORTAGE, IN 46368
Nurse Practitioner (Family)
6050 STERLING CREEK RD
PORTAGE, IN 46368

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669090049, enumerated as an "individual" on July 11, 2020.

The provider is located at 6050 STERLING CREEK RD PORTAGE, IN 46368 and the phone number is (219) 763-8112.

Advanced Practice Midwife with taxonomy code 367A00000X.