Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JESSICA R JACKSON MSN, APRN, PMHNP
NPI 1871120600
Nurse Practitioner - Psychiatric/Mental Health in Eldorado, IL

Q: What is Jessica Jackson's NPI number?

The NPI number for Jessica Jackson is 1871120600. It was assigned to this individual provider in the NPPES registry on March 23, 2020.

Q: What is Jessica 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 Jessica Jackson was last updated on October 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 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.

Active since March 23, 2020PECOS Enrolled

1401 US HIGHWAY 45 N, ELDORADO, IL 62930(618) 273-2951(618) 273-2726 Get Directions Write a Review

NPPES record last updated: October 7, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 7, 2026, Mar 23, 2020 (2 updates tracked since 2020).

On this page

About Jessica R Jackson Msn, Aprn, Pmhnp NPPES

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

JESSICA R JACKSON MSN, APRN, PMHNP (NPI 1871120600) is an individual psychiatric/mental health provider in Eldorado, Illinois, licensed in Illinois (209021074) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871120600

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameJESSICA R JACKSONCredential: MSN, APRN, PMHNP

Location Address1401 US HIGHWAY 45 NEldorado, IL 62930-3770

Mailing Address1401 Us Highway 45 NEldorado, IL 62930-3770 · (618) 273-2951 · Fax (618) 273-2726

Phone(618) 273-2951

Fax(618) 273-2726

Sole ProprietorNo

Enumeration DateMarch 23, 2020

Last NPPES UpdateOctober 7, 20262 updates tracked since enumeration

NPPES CertifiedOctober 7, 2026

✔ NPI 1871120600 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 IL · 209021074

Also ListedNurse PractitionerTaxonomy 363L00000X · License 209021074 (IL)

1401 US HIGHWAY 45 N, Eldorado, IL 62930

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica R Jackson Msn, Aprn, Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 62930 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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 12

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

JORDAN WARGEL RN

Nurse Practitioner (Psychiatric/Mental Health)