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

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: October 25, 2026.

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
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Serena Jefferson-jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pea Inc
32 mi
Psychiatry
3845 MCCOY DR, SUITE 109
Aurora, IL 60504
  • Reassigned Medicare billing, Illinois enrollment
  • 2 clinicians in this Medicare group
NPI 1831218775 (630) 898-1031

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organization bills Medicare for Serena Jefferson-jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Serena Jefferson-jackson reassigns Medicare benefits to Pea Inc (Aurora, IL). The 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 Serena Jefferson-jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Serena Jefferson-jackson accept?

Health plans from UnitedHealthcare list Serena Jefferson-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.

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 7 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.