MRS. AMY J JACKSON NP
NPI 1972866085
Nurse Practitioner - Psychiatric/Mental Health in Anderson, IN

Q: What is Amy Jackson's NPI number?

The NPI number for Amy Jackson is 1972866085. It was assigned to this individual provider in the NPPES registry on June 22, 2012. The provider is also known as Amy J Kemp Np.

Q: What is Amy Jackson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Amy Jackson was last updated on December 8, 2023. 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 June 22, 2012PECOS EnrolledAccepts Medicare Assignment

2210 JACKSON ST, ANDERSON, IN 46016(765) 683-3118 Get Directions Write a Review

NPPES record last updated: December 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 8, 2023, Nov 13, 2023, Nov 7, 2023 and 2 more (5 updates tracked since 2018).

On this page

About Mrs. Amy J Jackson Np NPPES

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

MRS. AMY J JACKSON NP (NPI 1972866085) is an individual psychiatric/mental health provider in Anderson, Indiana, licensed in Indiana (71003983A) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent Anderson, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1972866085

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMRS. AMY J JACKSONCredential: NP

Location Address2210 JACKSON STAnderson, IN 46016-4363

Mailing Address2210 Jackson StAnderson, IN 46016-4363

Phone(765) 683-3118

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateJune 22, 2012

Last NPPES UpdateDecember 8, 20235 updates tracked since enumeration

NPPES CertifiedDecember 8, 2023

✔ NPI 1972866085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in IN · 71003983A

Also ListedNurse PractitionerTaxonomy 363L00000X · License 71003983A (IN)

2210 JACKSON ST, Anderson, IN 46016

Open in Google Maps ↗

Other Names 1

Former Name (1)Amy J Kemp Np

Secondary Practice Locations 2

Location 12701 W North St Ste BMuncie, IN 47303-3415 · Phone (765) 281-6920 · Fax (765) 747-4499

Location 21050 Reid Pkwy Ste 210Richmond, IN 47374-1160 · Phone (765) 939-7711 · Fax (765) 939-1841

Other Identifiers 2

Medicaid201072860IN

Other000000772417Anthem

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Amy J Jackson Np 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 ID6103081740

PECOS Enrollment IDI20120703000577

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

23 services11 patients

Hospital Affiliations CMS Care Compare

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

Ascension St Vincent Anderson

Acute Care Hospitals · Anderson, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150088

Location2015 Jackson StAnderson, IN 46016 · Madison County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46016 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.

Other Providers at the Same Location NPPES 20

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

KEVIN R ANDERSON LCSW

Social Worker (Clinical)