SHANNON JACKSON NURSE PRACTITIONER NPI 1124526280

NPI Information

  • NPI: 1124526280
  • Provider Name: SHANNON JACKSON, NURSE PRACTITIONER
  • Classification: Nurse Practitioner - 363L00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 850 INDEPENDENCE AVE
    AKRON, OH
    ZIP 44310
  • Phone: (330) 766-8277

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NPI Details

Shannon Jackson, NURSE PRACTITIONER is a nurse practitioner in Akron, OH. The provider is (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. Shannon Jackson, NURSE PRACTITIONER NPI is 1124526280. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

850 INDEPENDENCE AVE
AKRON, OH
ZIP 44310-541
Phone: (330) 766-8277

The NPI 1124526280 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 home visit, typically 25 minutes (HCPCS:99348)
  • Established patient home visit, typically 40 minutes (HCPCS:99349)
  • Established patient home visit, typically 1 hour (HCPCS:99350)
  • Advance care planning, first 30 minutes (HCPCS:99497)
  • New patient home visit, typically 75 minutes (HCPCS:99345)
  • Extended patient service without direct patient contact, first hour (HCPCS:99358)

The enumeration date for this NPI number is 1/24/2018 and was last updated on 1/24/2018.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse PractitionerAPRN.CNP.020775OHIOYes
2363LA2200XNurse PractitionerAdult HealthAPRN.CNP.020775OHIONo
3363LG0600XNurse PractitionerGerontologyAPRN.CNP.020775OHIONo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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