MRS. CECILIA T. JACKSON (CNM) – Advanced Practice Midwife, NPI 1598724536
Advanced Practice Midwife
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MRS. CECILIA T. JACKSON (CNM)
6101 Lake Ellenor Dr
Orlando, FL 328094616
Phone: (407) 858-1400
Fax: (407) 858-5523
Type: Location
DOH, 6101, Lake Ellenor Drive, Orlando Central Park, Oak Ridge, Orange County, Florida, 32809, United States
ORLANDO, FL 328094616
Phone: (407) 858-1400
Fax: (407) 858-5523
Type: Mailing
5301 E GRANT RD
TUCSON, AZ 857122805
Phone: (520) 795-8188
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $35.
Total Amount is formed as General ($35) + Research ($0) + Ownership ($0) = $35.
Last reported payment date: 2024-09-06 • Largest payer in this snapshot: PFIZER INC. ($35).
Total Amount
$35
General + Research + Ownership
Payments
2
Total payment records
General Amount
$35
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $35 |
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: 2017-10-23
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 |
|---|---|---|---|---|
| I20171023002787 | I | Certified Nurse Midwife (Cnm) | AZ | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32809)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nuclear Medicine, Cardiovascular Disease (Cardiology) | AZ | |
| U R O L O G Y | AZ | |
| Nurse Practitioner | AZ | |
| - | AZ | |
| - | AZ | |
| Gynecological Oncology, Hematology/Oncology | TX | |
| - | AZ | |
| Internal Medicine | AZ | |
| Rheumatology, Internal Medicine | AZ | |
| Nurse Practitioner | AZ |
Reviews
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