JACKSON PSYCHIATRIC AND PRIMARY CARE SERVICES
NPI 1689251183
Nurse Practitioner - Psychiatric/Mental Health in Las Vegas, NV
About Jackson Psychiatric And Primary Care Services NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACKSON PSYCHIATRIC AND PRIMARY CARE SERVICES (NPI 1689251183), doing business as Optimal Mind Studio, is a healthcare organization registered as a psychiatric/mental health in Las Vegas, Nevada and active in the NPI registry since March 2021. The organization maintains 2 additional practice locations and lists Simone Jackson, Clinical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Locations 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jackson Psychiatric And Primary Care Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Jackson Psychiatric And Primary Care Services, which bills Medicare for the services this clinician delivers.
Clinician (1)
Las Vegas, NV 89109
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Psychiatric And Primary Care Services's NPI number?
The NPI number for Jackson Psychiatric And Primary Care Services is 1689251183. It was assigned to this organization in the NPPES registry on March 29, 2021. The provider is doing business as Optimal Mind Studio.
Where is Jackson Psychiatric And Primary Care Services located?
Jackson Psychiatric And Primary Care Services is located at 101 Convention Center Dr Ste 900, Las Vegas, NV 89109. The listed phone number is (702) 355-8294.
What is Jackson Psychiatric And Primary Care Services's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Jackson Psychiatric And Primary Care Services enrolled in Medicare?
Yes. Jackson Psychiatric And Primary Care Services is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jackson Psychiatric And Primary Care Services?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Jackson Psychiatric And Primary Care Services. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Jackson Psychiatric And Primary Care Services was last updated on January 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.
# Jackson Psychiatric And Primary Care Services · NPI 1689251183
Psychiatric/Mental Health organization in Las Vegas, Nevada. Organization record, active in the CMS NPPES registry since March 29, 2021.
## Identity
- **NPI:** 1689251183 (Entity type: Organization)
- **Enumerated:** March 29, 2021
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Also known as:** Optimal Mind Studio (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Simone Jackson, CLINICAL DIRECTOR
## Practice location
- **Address:** 101 CONVENTION CENTER DR STE 900, Las Vegas, NV 89109-2039
- **Phone:** (702) 355-8294
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 29, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1689251183) · Data from the CMS NPPES public registry.