JADE BRETTNEY JACKSON PMHNP
NPI 1790540631
Nurse Practitioner - Psychiatric/Mental Health in Fort Myers, FL

Q: What is Jade Jackson's NPI number?

The NPI number for Jade Jackson is 1790540631. It was assigned to this individual provider in the NPPES registry on February 20, 2024.

Q: What is Jade 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 Jade Jackson was last updated on August 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.

Active since February 20, 2024PECOS EnrolledAccepts Medicare Assignment

4310 METRO PKWY STE 205, FORT MYERS, FL 33916(239) 690-6906 Get Directions Write a Review

NPPES record last updated: August 23, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 23, 2024, Jun 24, 2024 (2 updates tracked since 2024).

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About Jade Brettney Jackson Pmhnp NPPES

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

JADE BRETTNEY JACKSON PMHNP (NPI 1790540631) is an individual psychiatric/mental health provider in Fort Myers, Florida, licensed in Florida (11033263) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1790540631

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameJADE BRETTNEY JACKSONCredential: PMHNP

Location Address4310 METRO PKWY STE 205Fort Myers, FL 33916-9416

Mailing Address3154 Birchin LnFort Myers, FL 33916-4577 · (239) 595-7000

Phone(239) 690-6906

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateFebruary 20, 2024

Last NPPES UpdateAugust 23, 20242 updates tracked since enumeration

NPPES CertifiedAugust 23, 2024

✔ NPI 1790540631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in FL · 11033263

Also ListedRegistered NurseTaxonomy 163W00000X · License RN9426818 (FL)

4310 METRO PKWY STE 205, Fort Myers, FL 33916

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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

Jade Brettney 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 ID6204370216

PECOS Enrollment IDI20240702000506

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

26 services11 patients

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

24 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33916 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

$91.69 typical visit price

range $58.56 – $179.05

Typical copayment $22.92 (range $14.64 – $44.76)

Most-billed visit code 99203

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

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.

TONI LOPEZ LMHC

Counselor (Mental Health)