JACKSON HEALTH
NPI 1790490191
Nurse Practitioner - Family in Effingham, IL
About Jackson Health NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACKSON HEALTH (NPI 1790490191) is a healthcare organization registered as a family in Effingham, Illinois and active in the NPI registry since January 2023. The organization lists Stephanie Dawn Jackson, Fnp/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jackson Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Jackson Health, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Jackson Health, PLLC's NPI number?
The NPI number for Jackson Health, PLLC is 1790490191. It was assigned to this organization in the NPPES registry on January 19, 2023. The provider is doing business as Jackson Health.
Where is Jackson Health, PLLC located?
Jackson Health, PLLC is located at 14878 E Harmony Dr, Effingham, IL 62401. The listed phone number is (218) 282-0457.
What is Jackson Health, PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jackson Health, PLLC enrolled in Medicare?
Yes. Jackson Health, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jackson Health, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Jackson Health, PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Jackson Health, PLLC was last updated on August 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Jackson Health · NPI 1790490191
Family organization in Effingham, Illinois. Organization record, active in the CMS NPPES registry since January 19, 2023.
## Identity
- **NPI:** 1790490191 (Entity type: Organization)
- **Enumerated:** January 19, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Legal business name:** Jackson Health, Pllc
- **Organization subpart:** No
- **Authorized official:** Stephanie Jackson, FNP/OWNER
## Practice location
- **Address:** 14878 E HARMONY DR, Effingham, IL 62401-4849
- **Phone:** (218) 282-0457
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 1, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1790490191) · Data from the CMS NPPES public registry.