MRS. KETURA L JACKSON RN
NPI 1821229378
Nurse Practitioner - Family in Cleveland, OH

Active since July 31, 2009PECOS EnrolledAccepts Medicare Assignment
2020 TAYLOR RD, CLEVELAND, OH 44112(216) 200-6552(866) 611-2650 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 19, 2025, Dec 4, 2024, Feb 8, 2017 and 1 more (4 updates tracked since 2017).

About Mrs. Ketura L Jackson Rn NPPES

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

MRS. KETURA L JACKSON RN (NPI 1821229378) is an individual family provider in Cleveland, Ohio, licensed in Ohio (2016003408) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1821229378
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KETURA L JACKSONCredential: RN
Location Address2020 TAYLOR RDCleveland, OH 44112-2963
Mailing AddressPo Box 32028Cleveland, OH 44132-0028 · (216) 200-6552 · Fax (866) 611-2650
Fax(866) 611-2650
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 31, 2009
Last NPPES UpdateSeptember 19, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2025
✔ NPI 1821229378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OH · 2016003408
2020 TAYLOR RD, Cleveland, OH 44112

Secondary Practice Locations 3

Location 125900 Euclid AveEuclid, OH 44132-2744 · Phone (216) 677-4342 · Fax (866) 611-2650
Location 2100 Richmond RdCleveland, OH 44143-1223 · Phone (216) 677-4734 · Fax (866) 611-2650
Location 3125 E 156th StCleveland, OH 44110-1182 · Phone (216) 677-4342 · Fax (866) 611-2650

Accepted 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

Mrs. Ketura L Jackson Rn 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 ID648555698
PECOS Enrollment IDI20170314001604
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

7

Medicare enrollment records show Ketura Jackson reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
2020 TAYLOR RD
Cleveland, OH 44112
  • Reassigned Medicare billing, Ohio enrollment
  • 7 clinicians in this Medicare group
Multi-Specialty
11100 EUCLID AVE
Cleveland, OH 44106
  • Reassigned Medicare billing, Ohio enrollment
  • 3,958 clinicians in this Medicare group
Internal Medicine
18697 BAGLEY RD
Middleburg Heights, OH 44130
  • Reassigned Medicare billing, Ohio enrollment
  • 144 clinicians in this Medicare group
Community/Behavioral Health
202 EAST BAGLEY ROAD
Berea, OH 44017
  • Reassigned Medicare billing, Ohio enrollment
  • 234 clinicians in this Medicare group
General Practice
200 SMOKERISE DR, SUITE 100
Wadsworth, OH 44281
  • Reassigned Medicare billing, Ohio enrollment
  • 27 clinicians in this Medicare group
Hospitalist
3700 KOLBE RD
Lorain, OH 44053
  • Reassigned Medicare billing, Ohio enrollment
  • 325 clinicians in this Medicare group
Nurse Practitioner
424 CHURCH ST STE 220
Nashville, TN 37219
  • Reassigned Medicare billing, Ohio enrollment
  • 271 clinicians in this Medicare group

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

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.

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
20 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44112 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 6

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

Nurse Practitioner (Family)
2020 TAYLOR RD
CLEVELAND, OH 44112
Nurse Practitioner (Family)
2020 TAYLOR RD
CLEVELAND, OH 44112
Clinic/Center (Multi-Specialty)
2020 TAYLOR RD
CLEVELAND, OH 44112
Nurse Practitioner (Family)
2020 TAYLOR RD
CLEVELAND, OH 44112
Nurse Practitioner (Adult Health)
2020 TAYLOR RD
CLEVELAND, OH 44112
Homemaker
2020 TAYLOR RD
EAST CLEVELAND, OH 44112

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 Ketura Jackson's NPI number?

The NPI number for Ketura Jackson is 1821229378. It was assigned to this individual provider in the NPPES registry on July 31, 2009.

Where is Ketura Jackson located?

Ketura Jackson practices at 2020 Taylor Rd, Cleveland, OH 44112. The listed phone number is (216) 200-6552.

What is Ketura Jackson's specialty?

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

Is Ketura Jackson enrolled in Medicare?

Yes. Ketura 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 Ketura Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ketura Jackson reassigns Medicare benefits to 7 organizations: Resihealth Of Ohio, Professional Corporation (Cleveland, OH), University Hospitals Medical Group Inc (Cleveland, OH), Hni Medical Services Of Ohio, LLC (Middleburg Heights, OH), Ohioguidestone (Berea, OH), Traveling Nurse Practitioner, LLC (Wadsworth, OH) and 2 more organizations, listed in the Medicare section above. 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 Ketura Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ketura Jackson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 3 other insurers list Ketura 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 Ketura Jackson was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.