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JACQUELYN LEE JACKSON RN
NPI 1972271237
Nurse Practitioner in Gilbert, AZ

Active since September 01, 2021PECOS Enrolled
3681 S BUCKAROO TRL, GILBERT, AZ 85297(480) 242-0087 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacquelyn Lee Jackson Rn NPPES

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

JACQUELYN LEE JACKSON RN (NPI 1972271237) is an individual nurse practitioner in Gilbert, Arizona, licensed in Arizona (320980) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972271237
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJACQUELYN LEE JACKSONCredential: RN
Location Address3681 S BUCKAROO TRLGilbert, AZ 85297-7968
Mailing Address3681 S Buckaroo TrlGilbert, AZ 85297-7968 · (480) 242-0087
Phone(480) 242-0087
Sole ProprietorNo
Enumeration DateSeptember 1, 2021
Last NPPES UpdateApril 8, 2025
NPPES CertifiedApril 8, 2025
✔ NPI 1972271237 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 AZ · 320980
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.
3681 S BUCKAROO TRL, Gilbert, AZ 85297
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacquelyn Lee Jackson Rn 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 85297 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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 Jacquelyn Jackson's NPI number?

The NPI number for Jacquelyn Jackson is 1972271237. It was assigned to this individual provider in the NPPES registry on September 1, 2021.

Where is Jacquelyn Jackson located?

Jacquelyn Jackson practices at 3681 S Buckaroo Trl, Gilbert, AZ 85297. The listed phone number is (480) 242-0087.

What is Jacquelyn Jackson's specialty?

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

Is Jacquelyn Jackson enrolled in Medicare?

Yes. Jacquelyn Jackson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacquelyn Jackson was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.