JACQUELINE MARIE JACKSON ARNP NPI 1083118350

NPI Details

Jacqueline Marie Jackson, ARNP is a family nurse practitioner in Pensacola, FL with 9 years of experience. Jacqueline Marie Jackson, ARNP NPI is 1083118350. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2114 CREIGHTON ROAD
PENSACOLA, FL
ZIP 32504
Phone: (850) 696-4000

The NPI 1083118350 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
• Injection, denosumab, 1 mg (HCPCS:J0897)
• Injection, ketorolac tromethamine, per 15 mg (HCPCS:J1885)
• Injection of drug or substance under skin or into muscle (HCPCS:96372)
• Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
• Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
• Annual alcohol misuse screening, 15 minutes (HCPCS:G0442)
• Annual depression screening, 15 minutes (HCPCS:G0444)
• Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free (HCPCS:90674)
• Administration of influenza virus vaccine (HCPCS:G0008)
• Automated urinalysis test (HCPCS:81003)
• Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
• Transitional care management services for problem of high complexity (HCPCS:99496)
• Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
• Removal of impacted ear wax (HCPCS:69210)
• Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)
• Administration of pneumococcal vaccine (HCPCS:G0009)
• Detection test by immunoassay with direct visual observation for influenza virus (HCPCS:87804)

The enumeration date for this NPI number is 3/21/2018 and was last updated on 1/27/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.