SERENA JEFFERSON-JACKSON
NPI 1972459352
Nurse Practitioner - Psychiatric/Mental Health in Chicago, IL

Q: What is Serena Jefferson-jackson's NPI number?

The NPI number for Serena Jefferson-jackson is 1972459352. It was assigned to this individual provider in the NPPES registry on March 7, 2026.

Q: What is Serena Jefferson-jackson's specialty?

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

Active since March 07, 2026PECOS Enrolled

PO BOX 528135, CHICAGO, IL 60652(630) 426-8963 Get Directions Write a Review

NPPES record last updated: March 7, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

On this page

About Serena Jefferson-jackson NPPES

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

SERENA JEFFERSON-JACKSON (NPI 1972459352) is an individual psychiatric/mental health provider in Chicago, Illinois, licensed in Illinois (209.034924) and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1972459352

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameSERENA JEFFERSON-JACKSON

Location AddressPO BOX 528135Chicago, IL 60652-8135

Mailing AddressPo Box 528135Chicago, IL 60652-8135 · (630) 426-8963

Phone(630) 426-8963

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateMarch 7, 2026

NPPES CertifiedMarch 7, 2026

✔ NPI 1972459352 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 IL · 209.034924

PO BOX 528135, Chicago, IL 60652

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Serena Jefferson-jackson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6002386950

PECOS Enrollment IDI20260601002902

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 60652 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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 Serena Jefferson-jackson's NPI number?

The NPI number for Serena Jefferson-jackson is 1972459352. It was assigned to this individual provider in the NPPES registry on March 7, 2026.

Where is Serena Jefferson-jackson located?

Serena Jefferson-jackson practices at PO Box 528135, Chicago, IL 60652. The listed phone number is (630) 426-8963.

What is Serena Jefferson-jackson's specialty?

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

Is Serena Jefferson-jackson enrolled in Medicare?

Yes. Serena Jefferson-jackson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Serena Jefferson-jackson was last updated on March 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.