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

Q: 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.

Q: 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.

Q: When was this NPI record last updated?

The NPPES record for Ronica Jackson was last updated on July 23, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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: July 26, 2026.

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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

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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, and ordering and referring status from the CMS PECOS system.

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.

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.

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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

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