ANGELETTE JACKSON NP
NPI 1760862684
Nurse Practitioner - Gerontology in North Chesterfield, VA

Active since June 05, 2015PECOS EnrolledAccepts Medicare Assignment
1901 HUGUENOT RD, SUITE 309, NORTH CHESTERFIELD, VA 23235(804) 955-4864 Get Directions Write a Review

NPPES record last updated: March 31, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 6, 2020, Dec 9, 2015 (2 updates tracked since 2015).

About Angelette Jackson Np NPPES

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

ANGELETTE JACKSON NP (NPI 1760862684) is an individual gerontology provider in North Chesterfield, Virginia, licensed in Virginia (0024172629) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1760862684
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameANGELETTE JACKSONCredential: NP
Location Address1901 HUGUENOT RD, SUITE 309North Chesterfield, VA 23235-4311
Mailing AddressPo Box 693Midlothian, VA 23113-0693
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 5, 2015
Last NPPES UpdateMarch 31, 20222 updates tracked since enumeration
NPPES CertifiedMarch 31, 2022
✔ NPI 1760862684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in VA · 0024172629
Also ListedNurse PractitionerTaxonomy 363L00000X · License 0024172629 (VA)
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 0024172629 (VA)
1901 HUGUENOT RD, North Chesterfield, VA 23235

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

Angelette Jackson 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 ID1254646870
PECOS Enrollment IDI20150811005868
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 Reassignments

6

Medicare enrollment records show Angelette Jackson reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
10900 NUCKOLS RD STE 110
Glen Allen, VA 23060
  • Reassigned Medicare billing, Virginia enrollment
  • 81 clinicians in this Medicare group
Geriatric Medicine
6160 KEMPSVILLE CIR STE 325A
Norfolk, VA 23502
  • Reassigned Medicare billing, Virginia enrollment
  • 214 clinicians in this Medicare group
Internal Medicine
41816 FENWAY CIR
Ashburn, VA 20148
  • Reassigned Medicare billing, Virginia enrollment
  • 223 clinicians in this Medicare group
Geriatric Medicine
60 MARIETTA RD
Chillicothe, OH 45601
  • Reassigned Medicare billing, Virginia enrollment
  • 210 clinicians in this Medicare group
Acute Care
2099 N MOUNT JULIET RD
Mount Juliet, TN 37122
  • Reassigned Medicare billing, Virginia enrollment
  • 9 clinicians in this Medicare group
Guardian Biologics LLC
  • Reassigned Medicare billing, Virginia enrollment
  • 4 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23235 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers19 claims19 services$38.65 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 16

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

Internal Medicine (Nephrology)
1901 HUGUENOT RD, SUITE 309
NORTH CHESTERFIELD, VA 23235
Social Worker (Clinical)
1901 HUGUENOT RD, SUITE 310
NORTH CHESTERFIELD, VA 23235
Nurse Practitioner
1901 HUGUENOT RD, SUITE 309
NORTH CHESTERFIELD, VA 23235
Social Worker (Clinical)
1901 HUGUENOT RD, SUITE 201
RICHMOND, VA 23235
Social Worker
1901 HUGUENOT RD
NORTH CHESTERFIELD, VA 23235
Counselor (Mental Health)
1901 HUGUENOT RD
NORTH CHESTERFIELD, VA 23235
Social Worker (Clinical)
1901 HUGUENOT RD, STE 201
RICHMOND, VA 23235
Exclusive Provider Organization
1901 HUGUENOT RD, SUITE 101
NORTH CHESTERFIELD, VA 23235

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 Angelette Jackson's NPI number?

The NPI number for Angelette Jackson is 1760862684. It was assigned to this individual provider in the NPPES registry on June 5, 2015.

Where is Angelette Jackson located?

Angelette Jackson practices at 1901 Huguenot Rd Suite 309, North Chesterfield, VA 23235. The listed phone number is (804) 955-4864.

What is Angelette Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Angelette Jackson enrolled in Medicare?

Yes. Angelette Jackson 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 organizations bill Medicare for Angelette Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Angelette Jackson reassigns Medicare benefits to 6 organizations: Curana Health Of Virginia LLC (Glen Allen, VA), Mid-Atlantic Post Acute & Long Term Care PLLC (Norfolk, VA), Virginia Internal Medicine Inc (Ashburn, VA), Pai Participant 1 LLC (Chillicothe, OH), Regional Healthcare Group LLC (Mount Juliet, TN) and 1 more organization, listed in the Medicare section above. Each 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 Angelette Jackson'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 Angelette Jackson was last updated on March 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.