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SUMMER JACKSON NP
NPI 1790432458
Nurse Practitioner in Bellwood, IL

Active since March 03, 2022PECOS EnrolledAccepts Medicare Assignment
91.35/100
CMS Quality Rating
531 LINDEN AVE, BELLWOOD, IL 60104(773) 416-9936 Get Directions Write a Review

NPPES record last updated: March 15, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 15, 2025, Dec 30, 2022, Mar 3, 2022 (3 updates tracked since 2022).

About Summer Jackson Np NPPES

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

SUMMER JACKSON NP (NPI 1790432458) is an individual nurse practitioner in Bellwood, Illinois, licensed in Illinois (209025419) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1790432458
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSUMMER JACKSONCredential: NP
Location Address531 LINDEN AVEBellwood, IL 60104-1854
Mailing Address531 Linden AveBellwood, IL 60104-1854 · (773) 416-9936
Phone(773) 416-9936
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateMarch 3, 2022
Last NPPES UpdateMarch 15, 20253 updates tracked since enumeration
NPPES CertifiedMarch 15, 2025
✔ NPI 1790432458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in IL · 209025419✔ Licensed in IL · 2000357580
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
531 LINDEN AVE, Bellwood, IL 60104
Open in Google Maps ↗

Other Identifiers 1

Medicaid2000357580IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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

Summer 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 ID1850769597
PECOS Enrollment IDI20221130001208
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

2

Medicare enrollment records show Summer Jackson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Simply Wounds And Lymphatics, PLLC
14 mi
Nurse Practitioner
9401 S PULASKI RD UNIT 3N
Evergreen Park, IL 60805
  • Reassigned Medicare billing, Illinois enrollment
  • 2 clinicians in this Medicare group
NPI 1073464301 (773) 416-9936
West Coast Wound And Skin Care Inc
1,734 mi
Surgery
2309 W VICTORY BLVD
Burbank, CA 91506
  • Reassigned Medicare billing, Illinois enrollment
  • 5 clinicians in this Medicare group
NPI 1437675980 (818) 856-9535

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 5

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.

Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
320 services39 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
295 services41 patients
Therapy procedure for walking training, each 15 minutes 97116
Walking training therapy is a process to improve your ability to walk. It's a 15-minute session where you'll practice walking with the help of devices or exercises. It aims to enhance balance, strength, coordination, and endurance.
78 services31 patients
Application of mechanical traction 97012
Mechanical traction is a therapy method often used to alleviate back and neck pain. It involves a special machine that gently stretches your spine, reducing pressure on your discs and nerves. This process can help improve mobility, and relieve discomfort.
65 services31 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
48 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60104 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.71
Promoting Interoperability100
Improvement Activities40

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 Summer Jackson's NPI number?

The NPI number for Summer Jackson is 1790432458. It was assigned to this individual provider in the NPPES registry on March 3, 2022.

Where is Summer Jackson located?

Summer Jackson practices at 531 Linden Ave, Bellwood, IL 60104. The listed phone number is (773) 416-9936.

What is Summer Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Summer Jackson enrolled in Medicare?

Yes. Summer 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 Summer Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Summer Jackson reassigns Medicare benefits to 2 organizations: Simply Wounds And Lymphatics, PLLC (Evergreen Park, IL) and West Coast Wound And Skin Care Inc (Burbank, CA). 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 Summer Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Summer Jackson accept?

Health plans from Oscar Health list Summer 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 Summer Jackson was last updated on March 15, 2025. 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.