JACKIE LYNN MYERS
NPI 1891547030
Nurse Practitioner in Duluth, MN

Active since April 02, 2024PECOS EnrolledAccepts Medicare Assignment
502 E 2ND ST, DULUTH, MN 55805(218) 786-4000 Get Directions Write a Review

NPPES record last updated: September 10, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 10, 2024, Apr 2, 2024 (2 updates tracked since 2024).

About Jackie Lynn Myers NPPES

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

JACKIE LYNN MYERS (NPI 1891547030) is an individual nurse practitioner in Duluth, Minnesota, licensed in Minnesota (11831) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS, is affiliated with Essentia Health Duluth, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1891547030
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJACKIE LYNN MYERS
Location Address502 E 2ND STDuluth, MN 55805-1913
Mailing Address400 E 3rd StDuluth, MN 55805-1951 · (218) 786-8364
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateApril 2, 2024
Last NPPES UpdateSeptember 10, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2024
✔ NPI 1891547030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MN · 11831
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
502 E 2ND ST, Duluth, MN 55805

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

Jackie Lynn Myers 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 ID8729529409
PECOS Enrollment IDI20240920003198
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

4

Medicare enrollment records show Jackie Myers reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
400 E 3RD ST
Duluth, MN 55805
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,460 clinicians in this Medicare group
Critical Access
3500 TOWER AVE
Superior, WI 54880
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: St Marys Hospital Of Superior
  • 381 clinicians in this Medicare group
General Acute Care Hospital
901 9TH ST N
Virginia, MN 55792
  • Reassigned Medicare billing, Minnesota enrollment
  • 171 clinicians in this Medicare group
Critical Access Hospital
1542 GOLF COURSE RD
Grand Rapids, MN 55744
  • Reassigned Medicare billing, Minnesota enrollment
  • 171 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.

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Essentia Health Duluth

Acute Care Hospitals · Duluth, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240019
Location502 East Second StreetDuluth, MN 55805 · St. Louis County
Birthing friendly

Essentia Health Virginia

Acute Care Hospitals · Virginia, MN
OwnershipGovernment - Local
CMS Certification Number240084
Location901 9th Street NorthVirginia, MN 55792 · St. Louis County
Birthing friendly

Essentia Health Sandstone

Critical Access Hospitals · Sandstone, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241309
Location705 Lundorff Drive SouthSandstone, MN 55072 · Pine County
Emergency services

Essentia Health Deer River

Critical Access Hospitals · Deer River, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241360
Location115 10th Avenue NortheastDeer River, MN 56636 · Itasca County
Emergency services

St Marys Hospital Superior

Critical Access Hospitals · Superior, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521329
Location3500 Tower AveSuperior, WI 54880 · Douglas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55805 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

Occupational Therapist
502 E 2ND ST
DULUTH, MN 55805
Pharmacist
502 E 2ND ST
DULUTH, MN 55805
Internal Medicine (Endocrinology, Diabetes & Metabolism)
502 E 2ND ST
DULUTH, MN 55805
General Acute Care Hospital
502 E 2ND ST
DULUTH, MN 55805
Psychologist
502 E 2ND ST
DULUTH, MN 55805
Physical Therapist
502 E 2ND ST
DULUTH, MN 55805
Speech-Language Pathologist
502 E 2ND ST
DULUTH, MN 55805
Psychiatry & Neurology (Psychiatry)
502 E 2ND ST
DULUTH, MN 55805

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 Jackie Myers's NPI number?

The NPI number for Jackie Myers is 1891547030. It was assigned to this individual provider in the NPPES registry on April 2, 2024.

Where is Jackie Myers located?

Jackie Myers practices at 502 E 2nd St, Duluth, MN 55805. The listed phone number is (218) 786-4000.

What is Jackie Myers's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jackie Myers enrolled in Medicare?

Yes. Jackie Myers 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 Jackie Myers's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jackie Myers reassigns Medicare benefits to 4 organizations: The Duluth Clinic, Ltd (Duluth, MN), St. Mary's Hospital Of Superior (Superior, WI), Essentia Health Virginia, LLC (Virginia, MN) and Deer River Healthcare Center, Inc. (Grand Rapids, MN). 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 Jackie Myers's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jackie Myers accept?

Health plans from HealthPartners, Sanford Health Plan and Security Health Plan list Jackie Myers 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.

Is Jackie Myers affiliated with any hospitals?

According to CMS data, Jackie Myers is affiliated with Essentia Health Duluth, Essentia Health Virginia, Essentia Health Sandstone, Essentia Health Deer River and St Marys Hospital Superior.

When was this NPI record last updated?

The NPPES record for Jackie Myers was last updated on September 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.