JADE C JACKSON APNP-C
NPI 1992204796
Nurse Practitioner in Appleton, WI

Q: What is Jade Jackson's NPI number?

The NPI number for Jade Jackson is 1992204796. It was assigned to this individual provider in the NPPES registry on February 7, 2018. The provider is also known as Jade C Koeune.

Q: What is Jade Jackson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jade Jackson was last updated on September 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since February 07, 2018PECOS EnrolledAccepts Medicare Assignment

2600 S HERITAGE WOODS DR, APPLETON, WI 54915(920) 225-7875(920) 993-5003 Get Directions Write a Review

NPPES record last updated: September 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 1, 2024, Jan 24, 2019, Feb 23, 2018 (3 updates tracked since 2018).

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About Jade C Jackson Apnp-c NPPES

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

JADE C JACKSON APNP-C (NPI 1992204796) is an individual nurse practitioner in Appleton, Wisconsin, licensed in Wisconsin (8247) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS, is affiliated with Thedacare Regional Med Ctr - Neenah, and maintains a secondary practice location in Milwaukee.

NPPES Registry Identity

NPI1992204796

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameJADE C JACKSONCredential: APNP-C

Location Address2600 S HERITAGE WOODS DRAppleton, WI 54915-1408

Mailing Address3 Neenah CtrNeenah, WI 54956-3070 · (920) 830-5900

Phone(920) 225-7875

Fax(920) 993-5003

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateFebruary 7, 2018

Last NPPES UpdateSeptember 22, 20253 updates tracked since enumeration

NPPES CertifiedSeptember 22, 2025

✔ NPI 1992204796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in WI · 8247

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.

Also ListedRegistered NurseTaxonomy 163W00000X · License 197335 (WI)

2600 S HERITAGE WOODS DR, Appleton, WI 54915

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Other Names 1

Former Name (1)Jade C Koeune

Secondary Practice Location 1

Location 1125 S 84th StMilwaukee, WI 53214-1469 · Phone (920) 492-8293 · Fax (855) 739-0754

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare).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

Jade C Jackson Apnp-c 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 ID5597027920

PECOS Enrollment IDI20180326000041

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.

Hospital Affiliations CMS Care Compare 3

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

Thedacare Regional Med Ctr - Neenah

Acute Care Hospitals · Neenah, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520045

Location130 2nd StNeenah, WI 54956 · Winnebago County

Emergency services Birthing friendly

Thedacare Regional Medical Center - Appleton Inc

Acute Care Hospitals · Appleton, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520160

Location1818 N Meade StAppleton, WI 54911 · Outagamie County

Emergency services Birthing friendly

Thedacare Medical Center-Waupaca

Critical Access Hospitals · Waupaca, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521334

Location800 Riverside DriveWaupaca, WI 54981 · Waupaca County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54915 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

LORI J SCHAETZ OTR, CLT

Occupational Therapist