DR. ELLANIKOLE JACKSON DNP
NPI 1932676194
Nurse Practitioner - Family in Counce, TN

Q: What is Ellanikole Jackson's NPI number?

The NPI number for Ellanikole Jackson is 1932676194. It was assigned to this individual provider in the NPPES registry on October 25, 2018.

Q: What is Ellanikole Jackson's specialty?

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

Active since October 25, 2018PECOS EnrolledAccepts Medicare Assignment

11268 HIGHWAY 57, COUNCE, TN 38326(731) 438-3456 Get Directions Write a Review

NPPES record last updated: July 24, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 24, 2024, Oct 25, 2018 (2 updates tracked since 2018).

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About Dr. Ellanikole Jackson Dnp NPPES

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

DR. ELLANIKOLE JACKSON DNP (NPI 1932676194) is an individual family provider in Counce, Tennessee, licensed in Tennessee (24869) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS, is affiliated with Magnolia Regional Health Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1932676194

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameDR. ELLANIKOLE JACKSONCredential: DNP

Location Address11268 HIGHWAY 57Counce, TN 38326-3802

Mailing AddressPo Box 140Pickwick Dam, TN 38365-0140 · (731) 689-4357 · Fax (731) 689-1050

Phone(731) 438-3456

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateOctober 25, 2018

Last NPPES UpdateJuly 24, 20242 updates tracked since enumeration

NPPES CertifiedJuly 24, 2024

✔ NPI 1932676194 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

License✔ Licensed in TN · 24869

11268 HIGHWAY 57, Counce, TN 38326

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

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

Dr. Ellanikole Jackson Dnp 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 ID9335484914

PECOS Enrollment IDI20181231001911

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.

Areas of Expertise CMS Part B claims

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.

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

53 services35 patients

Hospital Affiliations CMS Care Compare 2

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

Magnolia Regional Health Center

Acute Care Hospitals · Corinth, MS

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number250009

Location611 Alcorn DriveCorinth, MS 38834 · Alcorn County

Emergency services Birthing friendly

Hardin Medical Center

Acute Care Hospitals · Savannah, TN

OwnershipGovernment - Local

CMS Certification Number440109

Location935 Wayne RoadSavannah, TN 38372 · Hardin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38326 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers51 claims51 services$19.20 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier12 claims12 services$920.39 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers51 claims51 services$109.57 avg. paid by Medicare

Insulin for administration through dme (i.e., insulin pump) per 50 units J1817

Treatment-Injections and Infusions (nononcologic) · category RI000N

3 suppliers16 claims3,200 services$6.81 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier11 claims11 services$185.46 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

KRYSTAL LASHA LONG MSN, APRN, FNP-C

Nurse Practitioner (Family)

11268 HIGHWAY 57
COUNCE, TN 38326

Hardin County (731) 689-4357

FAMILY CLINIC AT THE LAKE PLLC

Clinic/Center (Rural Health)

11268 HIGHWAY 57
COUNCE, TN 38326

Hardin County (731) 689-4357

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 Ellanikole Jackson's NPI number?

The NPI number for Ellanikole Jackson is 1932676194. It was assigned to this individual provider in the NPPES registry on October 25, 2018.

Where is Ellanikole Jackson located?

Ellanikole Jackson practices at 11268 Highway 57, Counce, TN 38326. The listed phone number is (731) 438-3456.

What is Ellanikole Jackson's specialty?

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

Is Ellanikole Jackson enrolled in Medicare?

Yes. Ellanikole 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.

What insurance does Ellanikole Jackson accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Ellanikole 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.

Is Ellanikole Jackson affiliated with any hospitals?

According to CMS data, Ellanikole Jackson is affiliated with Magnolia Regional Health Center and Hardin Medical Center.

When was this NPI record last updated?

The NPPES record for Ellanikole Jackson was last updated on July 24, 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.