NICKOLAS NATHANIEL JACKSON FNP RN NPI 1225628993

NPI Information

  • NPI: 1225628993
  • Provider Name: NICKOLAS NATHANIEL JACKSON, FNP, RN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 13471 BEDELL ST
    JAMAICA, NY
    ZIP 11434
  • Phone: (347) 759-9040

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NPI Details

Nickolas Nathaniel Jackson, FNP, RN is a family nurse practitioner in Jamaica, NY. Nickolas Nathaniel Jackson, FNP, RN NPI is 1225628993. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

13471 BEDELL ST
JAMAICA, NY
ZIP 11434-551
Phone: (347) 759-9040

The NPI 1225628993 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.

  • Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg (HCPCS:J7320)
  • Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg (HCPCS:J7329)
  • Aspiration and/or injection of fluid large joint using ultrasound guidance (HCPCS:20611)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Injection of trigger points, 1-2 muscles (HCPCS:20552)

The enumeration date for this NPI number is 1/26/2021 and was last updated on 1/26/2021.

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
1363LF0000XNurse PractitionerFamily346970NEW YORKYes

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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