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MS. SIMONE D JACKSON ANP
NPI 1871041657
Nurse Practitioner - Adult Health in Horsham, PA

Active since September 21, 2016PECOS EnrolledAccepts Medicare Assignment
680 BLAIR MILL RD, HORSHAM, PA 19044(215) 902-9014(877) 383-8544 Get Directions Write a Review

NPPES record last updated: October 31, 2018. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Oct 31, 2018, Sep 30, 2016, Sep 21, 2016 (3 updates tracked since 2016).

About Ms. Simone D Jackson Anp NPPES

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

MS. SIMONE D JACKSON ANP (NPI 1871041657) is an individual adult health provider in Horsham, Pennsylvania, licensed in Pennsylvania (SP019087) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1871041657
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMS. SIMONE D JACKSONCredential: ANP
Location Address680 BLAIR MILL RDHorsham, PA 19044-2223
Mailing Address680 Blair Mill RdHorsham, PA 19044-2223 · (267) 908-2465 · Fax (877) 383-8544
Phone(215) 902-9014
Fax(877) 383-8544
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateSeptember 21, 2016
Last NPPES UpdateOctober 31, 20183 updates tracked since enumeration
✔ NPI 1871041657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Licenses✔ Licensed in PA · SP019087✔ Licensed in GA · RN162091
680 BLAIR MILL RD, Horsham, PA 19044
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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. Simone D Jackson Anp 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 ID840588166
PECOS Enrollment IDI20161019000875, I20191030001154, I20240319002558, I20240321001047, I20250626002205
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19044 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

MRS. DIANE LOUISE TROUTMAN NURSE PRACTITIONER
Nurse Practitioner (Family)
680 BLAIR MILL RD
HORSHAM, PA 19044
Montgomery County (717) 919-6300
AMY SUSAN BLAKE FNP-BC
Nurse Practitioner
680 BLAIR MILL RD
HORSHAM, PA 19044
Montgomery County (302) 304-6341
HIRAL PATEL FNP-C
Nurse Practitioner (Psychiatric/Mental Health)
680 BLAIR MILL RD
HORSHAM, PA 19044
Montgomery County (215) 902-9020
VANESSA RAE FISCHER CRNP
Nurse Practitioner (Family)
680 BLAIR MILL RD
HORSHAM, PA 19044
Montgomery County (412) 956-5567
TAMIKA MICKIE
Nurse Practitioner (Gerontology)
680 BLAIR MILL RD
HORSHAM, PA 19044
Montgomery County (484) 781-5933
TRINKAL PATEL
Nurse Practitioner (Family)
680 BLAIR MILL RD
HORSHAM, PA 19044
Montgomery County (484) 735-2255
ESTHER YEBOAH-AWUSI CRNP
Nurse Practitioner (Family)
680 BLAIR MILL RD, STE. 400
HORSHAM, PA 19044
Montgomery County (267) 965-7962
LORI A RUSKIN CRNP
Nurse Practitioner (Family)
680 BLAIR MILL RD
HORSHAM, PA 19044
Montgomery County (215) 684-9301

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 Simone Jackson's NPI number?

The NPI number for Simone Jackson is 1871041657. It was assigned to this individual provider in the NPPES registry on September 21, 2016.

Where is Simone Jackson located?

Simone Jackson practices at 680 Blair Mill Rd, Horsham, PA 19044. The listed phone number is (215) 902-9014.

What is Simone Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Simone Jackson enrolled in Medicare?

Yes. Simone 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.

When was this NPI record last updated?

The NPPES record for Simone Jackson was last updated on October 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.