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RONICA JACKSON PMHNP
NPI 1780412783
Nurse Practitioner - Psychiatric/Mental Health in Fort Wayne, IN

Active since July 23, 2024PECOS EnrolledAccepts Medicare Assignment
3512 STELLHORN RD, FORT WAYNE, IN 46815(260) 483-9081 Get Directions Write a Review

NPPES record last updated: July 23, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ronica Jackson Pmhnp NPPES

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

RONICA JACKSON PMHNP (NPI 1780412783) is an individual psychiatric/mental health provider in Fort Wayne, Indiana, licensed in Indiana (28208894A) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1780412783
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameRONICA JACKSONCredential: PMHNP
Location Address3512 STELLHORN RDFort Wayne, IN 46815-4631
Mailing AddressPo Box 392552Pittsburgh, PA 15251-9500 · (512) 792-4402
Phone(260) 483-9081
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 23, 2024
NPPES CertifiedJuly 23, 2024
✔ NPI 1780412783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in IN · 28208894A
3512 STELLHORN RD, Fort Wayne, IN 46815
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, UnitedHealthcare.Insurance ›

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

Ronica Jackson Pmhnp 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 ID7416498647
PECOS Enrollment IDI20240916001584
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 Ronica Jackson reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Eventus Ecs, Inc
108 mi
Nurse Practitioner
150 W MARKET ST STE 400
Indianapolis, IN 46204
  • Reassigned Medicare billing, Indiana enrollment
  • 210 clinicians in this Medicare group
NPI 1073353496 (855) 743-2247
Extended Care Specialists, Inc
118 mi
Adult Medicine
8398 MISSISSIPPI ST FL 2
Merrillville, IN 46410
  • Reassigned Medicare billing, Indiana enrollment
  • 233 clinicians in this Medicare group
NPI 1134146079 (855) 743-2247
Eventus Ecs - Ohio LLC
127 mi
Nurse Practitioner
3958 BROWN PARK DR STE D
Hilliard, OH 43026
  • Reassigned Medicare billing, Indiana enrollment
  • 150 clinicians in this Medicare group
NPI 1972321842 (855) 743-2247
Eventus Wholehealth Midwest Inc
138 mi
Family Medicine
2100 MIDWAY ST # 3722
Columbus, IN 47201
  • Reassigned Medicare billing, Indiana enrollment
  • 129 clinicians in this Medicare group
NPI 1386252757 (260) 483-9081
Eventus Ecs - Kentucky, PLLC
215 mi
Nurse Practitioner
828 LANE ALLEN RD STE 219
Lexington, KY 40504
  • Reassigned Medicare billing, Indiana enrollment
  • 135 clinicians in this Medicare group
NPI 1396563276 (855) 743-2247
Eventus Wh Midwest Care, LLC
464 mi
Nurse Practitioner
101 CABARRUS AVE E STE 100
Concord, NC 28025
  • Reassigned Medicare billing, Indiana enrollment
  • 139 clinicians in this Medicare group
NPI 1588481717 (855) 743-2247

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 2

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
85 services49 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
35 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46815 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
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

MRS. LHYRA DAWIS MAYORALGO PT
Contractor
3512 STELLHORN RD
FORT WAYNE, IN 46815
Allen County (260) 483-9081
CHANEL JONES NP
Nurse Practitioner (Family)
3512 STELLHORN RD
FORT WAYNE, IN 46815
Allen County (260) 483-9081
HAMUTYINEI H MAMUTSE
Nurse Practitioner (Psychiatric/Mental Health)
3512 STELLHORN RD
FORT WAYNE, IN 46815
Allen County (260) 483-9081
ZEINAB HASSAN NP
Nurse Practitioner (Gerontology)
3512 STELLHORN RD
FORT WAYNE, IN 46815
Allen County (260) 483-9081
LINDA ROMINES
Nurse Practitioner (Family)
3512 STELLHORN RD
FORT WAYNE, IN 46815
Allen County (260) 483-9081
CORTNEY WILCOX FNP
Nurse Practitioner (Family)
3512 STELLHORN RD
FORT WAYNE, IN 46815
Allen County (260) 483-9081
LINDA D WOENKER OT
Occupational Therapist
3512 STELLHORN RD
FORT WAYNE, IN 46815
Allen County (260) 483-9081
MRS. JODI LYNN GUY FNP-C
Nurse Practitioner (Family)
3512 STELLHORN RD
FORT WAYNE, IN 46815
Allen County (260) 483-9081

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 Ronica Jackson's NPI number?

The NPI number for Ronica Jackson is 1780412783. It was assigned to this individual provider in the NPPES registry on July 23, 2024.

Where is Ronica Jackson located?

Ronica Jackson practices at 3512 Stellhorn Rd, Fort Wayne, IN 46815. The listed phone number is (260) 483-9081.

What is Ronica Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Ronica Jackson enrolled in Medicare?

Yes. Ronica 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 Ronica Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ronica Jackson reassigns Medicare benefits to 6 organizations: Eventus Ecs, Inc (Indianapolis, IN), Extended Care Specialists, Inc (Merrillville, IN), Eventus Ecs - Ohio LLC (Hilliard, OH), Eventus Wholehealth Midwest Inc (Columbus, IN), Eventus Ecs - Kentucky, PLLC (Lexington, KY) 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 Ronica Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ronica Jackson accept?

Health plans from CareSource and UnitedHealthcare list Ronica Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ronica Jackson was last updated on July 23, 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.