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EMILY JACKSON
NPI 1881552628
Nurse Practitioner - Psychiatric/Mental Health in Gulf Breeze, FL

Active since January 12, 2026PECOS EnrolledAccepts Medicare Assignment
3146 CORNELL DR, GULF BREEZE, FL 32563(850) 543-8865 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Emily Jackson NPPES

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

EMILY JACKSON (NPI 1881552628) is an individual psychiatric/mental health provider in Gulf Breeze, Florida, licensed in Florida (11044846) and active in the NPI registry since January 2026. The provider is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1881552628
Entity TypeIndividual
Primary Taxonomy363LP0808X
Provider Legal NameEMILY JACKSON
Location Address3146 CORNELL DRGulf Breeze, FL 32563-2794
Mailing Address3146 Cornell DrGulf Breeze, FL 32563-2794
Phone(850) 543-8865
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJanuary 12, 2026
NPPES CertifiedJanuary 12, 2026
✔ NPI 1881552628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in FL · 11044846
3146 CORNELL DR, Gulf Breeze, FL 32563
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Florida Blue (BlueCross BlueShield FL) and more.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

Emily Jackson 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 ID4284118233
PECOS Enrollment IDI20260318002100
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 Reassignment

Medicare enrollment records show Emily Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Balanced Wellbeing LLC
307 mi
Psychiatry
3200 SW 34TH AVE STE 701
Ocala, FL 34474
  • Reassigned Medicare billing, Florida enrollment
  • 369 clinicians in this Medicare group
NPI 1336513639 (352) 445-1200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32563 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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 Emily Jackson's NPI number?

The NPI number for Emily Jackson is 1881552628. It was assigned to this individual provider in the NPPES registry on January 12, 2026.

Where is Emily Jackson located?

Emily Jackson practices at 3146 Cornell Dr, Gulf Breeze, FL 32563. The listed phone number is (850) 543-8865.

What is Emily Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Emily Jackson enrolled in Medicare?

Yes. Emily 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 organization bills Medicare for Emily Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emily Jackson reassigns Medicare benefits to Balanced Wellbeing LLC (Ocala, FL). The 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 Emily Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Emily Jackson accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida and 2 other insurers list Emily 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 Emily Jackson was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.