AMANDA J JACKSON APRN
NPI 1922561653
Nurse Practitioner - Family in Jeffersonville, IN

Q: What is Amanda Jackson's NPI number?

The NPI number for Amanda Jackson is 1922561653. It was assigned to this individual provider in the NPPES registry on April 10, 2019. The provider is also known as Amanda Wade Aprn.

Q: What is Amanda Jackson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Amanda Jackson was last updated on May 8, 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.

Active since April 10, 2019PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

2811 HOLMANS LN, JEFFERSONVILLE, IN 47130(502) 446-5555(502) 394-3674 Get Directions Write a Review

NPPES record last updated: May 8, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 8, 2024, Aug 20, 2020, Aug 12, 2020 and 3 more (6 updates tracked since 2019).

On this page

About Amanda J Jackson Aprn NPPES

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

AMANDA J JACKSON APRN (NPI 1922561653) is an individual family provider in Jeffersonville, Indiana, licensed in Indiana (71009089A) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1922561653

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameAMANDA J JACKSONCredential: APRN

Location Address2811 HOLMANS LNJeffersonville, IN 47130-5915

Mailing AddressPo Box 776351Chicago, IL 60677-6351 · (025) 889-4905 · Fax (502) 272-5116

Phone(502) 446-5555

Fax(502) 394-3674

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateApril 10, 2019

Last NPPES UpdateMay 8, 20246 updates tracked since enumeration

NPPES CertifiedMay 8, 2024

✔ NPI 1922561653 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

Licenses✔ Licensed in IN · 71009089A✔ Licensed in KY · 3013285

2811 HOLMANS LN, Jeffersonville, IN 47130

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Other Names 1

Former Name (1)Amanda Wade Aprn

Secondary Practice Locations 2

Location 1443 Spring St Ste 200Jeffersonville, IN 47130-4494 · Phone (812) 288-8360 · Fax (812) 288-8375

Location 2443 Spring St Ste 301Jeffersonville, IN 47130-4494 · Phone (812) 288-8360 · Fax (812) 288-8375

Other Identifiers 2

Medicaid7100604600KY

Medicaid300027709IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Amanda J Jackson Aprn 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 ID8022350966

PECOS Enrollment IDI20190425001122, I20190712001593

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

Medicare enrollment records show Amanda Jackson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Louisville Geriatric Associates

3.7 mi

Internal Medicine

443 SPRING ST STE 200
Jeffersonville, IN 47130

Reassigned Medicare billing, Indiana and Kentucky enrollments
Also billed through NPI 1871508614 (Kentucky)
18 clinicians in this Medicare group

NPI 1922337617 (812) 288-8360

Community Medical Associates, Inc.

7.3 mi

Family Medicine

720 W HILL ST
Louisville, KY 40208

Reassigned Medicare billing, Kentucky and Indiana enrollments
Also billed through NPI 1073089850 (Indiana)
1,896 clinicians in this Medicare group

NPI 1245312503 (502) 636-3164

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 6

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

54 services51 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

26 services25 patients

Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b 87636

This test detects the presence of SARS-CoV-2 (COVID-19) and Influenza types A and B in your body. It uses a method called the multiplex amplified probe technique to amplify and identify specific virus genes. It helps in early diagnosis and appropriate treatment.

15 services15 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

12 services12 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

11 services11 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47130 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 14

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

RYAN LEE TARR

Pharmacist