MS. JUDITH JACKSON NURSE PRACTITIONER
NPI 1821055880
Nurse Practitioner in Minneapolis, MN
About Ms. Judith Jackson Nurse Practitioner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. JUDITH JACKSON NURSE PRACTITIONER (NPI 1821055880) is an individual nurse practitioner in Minneapolis, Minnesota, licensed in Minnesota (R1144729) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2000).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Ms. Judith Jackson Nurse Practitioner 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55454 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
MINNEAPOLIS, MN 55454
MINNEAPOLIS, MN 55454
MINNEAPOLIS, MN 55454
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 Judith Jackson's NPI number?
The NPI number for Judith Jackson is 1821055880. It was assigned to this individual provider in the NPPES registry on April 26, 2006.
Where is Judith Jackson located?
Judith Jackson practices at 2450 Riverside Ave, Minneapolis, MN 55454. The listed phone number is (612) 672-2288.
What is Judith Jackson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Judith Jackson enrolled in Medicare?
Yes. Judith 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.
What insurance does Judith Jackson accept?
Health plans from HealthPartners, Medica and Sanford Health Plan list Judith 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 Judith Jackson was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days 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.
# Ms. Judith Jackson, NURSE PRACTITIONER · NPI 1821055880
Nurse Practitioner physician in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since April 26, 2006.
## Identity
- **NPI:** 1821055880 (Entity type: Individual)
- **Enumerated:** April 26, 2006
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** R1144729 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 2450 RIVERSIDE AVE, Minneapolis, MN 55454-1395
- **Phone:** (612) 672-2288
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2000
## Record status
- **NPPES last updated:** July 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1821055880) · Data from the CMS NPPES public registry.