JOSEPH F. JACKSON JR. AGACNP-BC
NPI 1689419319
Nurse Practitioner - Acute Care in Louisville, KY

Q: What is Joseph Jackson's NPI number?

The NPI number for Joseph Jackson is 1689419319. It was assigned to this individual provider in the NPPES registry on June 25, 2024.

Q: What is Joseph Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Joseph Jackson was last updated on July 12, 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.

Active since June 25, 2024PECOS EnrolledAccepts Medicare Assignment

201 ABRAHAM FLEXNER WAY STE 1200, LOUISVILLE, KY 40202(502) 588-7600 Get Directions Write a Review

NPPES record last updated: July 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 12, 2024, Jun 25, 2024 (2 updates tracked since 2024).

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About Joseph F. Jackson Jr. Agacnp-bc NPPES

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

JOSEPH F. JACKSON JR. AGACNP-BC (NPI 1689419319) is an individual acute care provider in Louisville, Kentucky, licensed in Kentucky (4022371) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS, is affiliated with Jewish Hospital & St Mary's Healthcare, and is a graduate of University Of Louisville School Of Medicine (2023).

NPPES Registry Identity

NPI1689419319

Entity TypeIndividualMale

Primary Taxonomy363LA2100X

Provider Legal NameJOSEPH F. JACKSON JR.Credential: AGACNP-BC

Location Address201 ABRAHAM FLEXNER WAY STE 1200Louisville, KY 40202-3841

Mailing AddressPo Box 909Louisville, KY 40201-0909

Phone(502) 588-7600

Sole ProprietorNo

Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2023

Enumeration DateJune 25, 2024

Last NPPES UpdateJuly 12, 20242 updates tracked since enumeration

NPPES CertifiedJuly 12, 2024

✔ NPI 1689419319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in KY · 4022371

201 ABRAHAM FLEXNER WAY STE 1200, Louisville, KY 40202

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.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

Joseph F. Jackson Jr. Agacnp-bc 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 ID2567902463

PECOS Enrollment IDI20240905004721

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Jewish Hospital & St Mary's Healthcare

Acute Care Hospitals · Louisville, KY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180040

Location200 Abraham Flexner WayLouisville, KY 40202 · Jefferson County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40202 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 20

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

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