HEIDI A JACKSON ARNP NPI 1508942954

NPI Details

Heidi A Jackson, ARNP is a family nurse practitioner in Chandler, AZ with 27 years of experience. Heidi A Jackson, ARNP NPI is 1508942954. 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:

261 N ROOSEVELT AVE
CHANDLER, AZ
ZIP 85226-616
Phone: (480) 305-2888
Fax: (480) 305-2889

The NPI 1508942954 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, 10-19 minutes (HCPCS:99212)
• Covid-19 vaccine administration inside a patient's home; reported only once per individual home per date of service when only covid-19 vaccine administration is performed at the patient's home (HCPCS:M0201)
• Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
• Administration of influenza virus vaccine (HCPCS:G0008)
• Adm sarscv2 30mcg trs-sucr b (HCPCS:0054A)
• Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
• Coronavirus vaccine 13 (HCPCS:91312)
• Fee covid-19 vac 13 res (HCPCS:0124A)
• Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus (HCPCS:87426)
• Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
• Sarscov2 vac 30 mcg trs-sucr (HCPCS:91305)
• Fee covid-19 vac 14 res (HCPCS:0134A)
• Coronavirus vaccine 14 (HCPCS:91313)
• Sarscov2 vac 50mcg/0.25ml im (HCPCS:91306)
• New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
• Adm sarscv2 30mcg trs-sucr 3 (HCPCS:0053A)
• Adm sarscov2 30mcg/0.3ml bst (HCPCS:0004A)
• Administration of pneumococcal vaccine (HCPCS:G0009)
• Pneumococcal vaccine, 23-valent (HCPCS:90732)
• Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free (HCPCS:90674)

The enumeration date for this NPI number is 10/28/2006 and was last updated on 3/7/2023.

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

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