BENNETT J JACKSON (ANP) – Nurse Practitioner, NPI 1568523157
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
761 NURSE PRACTITIONER in AK
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Provider Addresses for BENNETT J JACKSON (ANP)
PO BOX 110413
ANCHORAGE, AK 995110413
Phone: (907) 333-7425
Fax: (907) 333-7719
Type: Mailing
Debarr Road, Anchorage, Alaska, 99504, United States
ANCHORAGE, AK 995041783
Phone: (907) 333-7425
Fax: (907) 333-7719
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $205.
Total Amount is formed as General ($205) + Research ($0) + Ownership ($0) = $205.
Last reported payment date: 2024-09-13 • Largest payer in this snapshot: ABBVIE INC. ($130).
Total Amount
$205
General + Research + Ownership
Payments
10
Total payment records
General Amount
$205
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $130 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | $22 |
| Lilly USA, LLC | $19 |
| PFIZER INC. | $17 |
| GlaxoSmithKline, LLC. | $16 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-05-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040504000414 | I | Nurse Practitioner | AK | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 26 | 19 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 19 | 13 | $0 |
| G0008 | Administration of influenza virus vaccine | 14 | 11 | $0 |
Insurance plans in this area (ZIP 99511)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AK | |
| - | AK | |
| Nurse Practitioner | AK | |
| Nurse Practitioner | WI | |
| Physician Assistant | IN |
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