MICHELLE LYNN JACKSON APRN
NPI 1790347722
Nurse Practitioner - Family in Peoria, IL

Active since June 29, 2019PECOS EnrolledAccepts Medicare Assignment
8914 N KNOXVILLE AVE, PEORIA, IL 61615(309) 691-9110 Get Directions Write a Review

NPPES record last updated: December 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michelle Lynn Jackson Aprn NPPES

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

MICHELLE LYNN JACKSON APRN (NPI 1790347722) is an individual family provider in Peoria, Illinois, licensed in Illinois (209019281) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, is affiliated with Saint Francis Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1790347722
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMICHELLE LYNN JACKSONCredential: APRN
Location Address8914 N KNOXVILLE AVEPeoria, IL 61615-1410
Mailing Address8914 N Knoxville AvePeoria, IL 61615-1410 · (309) 691-9110
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateJune 29, 2019
Last NPPES UpdateDecember 14, 2024
NPPES CertifiedDecember 14, 2024
NPI 1790347722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IL · 209019281
Also ListedFamily MedicineTaxonomy 207Q00000X · License 209.019281 (IL)
8914 N KNOXVILLE AVE, Peoria, IL 61615

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

Michelle Lynn Jackson Aprn 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 ID749612554
PECOS Enrollment IDI20191118000138
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 3

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

Saint Francis Medical Center

Acute Care Hospitals · Peoria, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140067
Location530 NE Glen Oak AvePeoria, IL 61637 · Peoria County
Emergency services Birthing friendly

Hammond Henry Hospital

Critical Access Hospitals · Geneseo, IL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141319
Location600 N College AvenueGeneseo, IL 61254 · Henry County
Emergency services

Osf Saint Luke Medical Center

Critical Access Hospitals · Kewanee, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141325
Location1051 West South StreetKewanee, IL 61443 · Henry County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61615 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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 5

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers18 claims48 services$6.37 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers11 claims21 services$32.22 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers18 claims73 services$2.15 avg. paid by Medicare
Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
1 supplier11 claims11 services$12.95 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers27 claims27 services$40.94 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 14

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

Nurse Practitioner (Family)
8914 N KNOXVILLE AVE
PEORIA, IL 61615
Nurse Practitioner (Family)
8914 N KNOXVILLE AVE
PEORIA, IL 61615
Nurse Practitioner (Family)
8914 N KNOXVILLE AVE
PEORIA, IL 61615
Family Medicine
8914 N KNOXVILLE AVE
PEORIA, IL 61615
Emergency Medicine
8914 N KNOXVILLE AVE
PEORIA, IL 61615
Physician Assistant
8914 N KNOXVILLE AVE
PEORIA, IL 61615
Nurse Practitioner (Family)
8914 N KNOXVILLE AVE
PEORIA, IL 61615
Nurse Practitioner (Family)
8914 N KNOXVILLE AVE
PEORIA, IL 61615

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 Michelle Jackson's NPI number?

The NPI number for Michelle Jackson is 1790347722. It was assigned to this individual provider in the NPPES registry on June 29, 2019.

Where is Michelle Jackson located?

Michelle Jackson practices at 8914 N Knoxville Ave, Peoria, IL 61615. The listed phone number is (309) 691-9110.

What is Michelle Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Michelle Jackson enrolled in Medicare?

Yes. Michelle 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.

Is Michelle Jackson affiliated with any hospitals?

According to CMS data, Michelle Jackson is affiliated with Saint Francis Medical Center, Hammond Henry Hospital and Osf Saint Luke Medical Center.

When was this NPI record last updated?

The NPPES record for Michelle Jackson was last updated on December 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.