DELOVELY GLORIA JACKSON (FNP) – Family Nurse Practitioner, NPI 1013370857

DELOVELY GLORIA JACKSON (FNP) is a healthcare provider. based in Homewood, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 277001922 (IL). The NPI Number for DELOVELY GLORIA JACKSON (FNP) is 1013370857

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
DELOVELY GLORIA JACKSON (FNP)
NPI
1013370857
Phone
(708) 768-6902
Address
18101 Cherrywood Ln
Enumeration Date
30 March 2016
Last Update Date
8 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8154642010
Graduation Year
2015 (11 years ago)
PAC ID
9133418627
Group Practice PAC ID
4183529456
Professional Enrollment ID
I20160524000140
Address ID
IL604233153FR20180RDXX400

Contacts

Secure Messaging
djackson222901@Direct.FranciscanAlliance.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:10State licenses:2Other namesUpdated within 12 months

11,632 NURSE PRACTITIONER in IL

Provider Addresses for DELOVELY GLORIA JACKSON (FNP)

  • 18101 Cherrywood Ln

    Homewood, IL 604301504

    Phone: (708) 768-6902

    Type: Location

  • 18636 Dixie Hwy

    Homewood, IL 604303741

    Phone: (708) 647-0571

    Fax: (708) 647-0676

    Type: Location

  • 18101, Cherrywood Lane, Homewood, Bremen Township, Cook County, Illinois, 60430, United States

    HOMEWOOD, IL 604301504

    Phone: (708) 768-6902

    Type: Mailing

  • 1400 OTTO BLVD

    CHICAGO HEIGHTS, IL 604113741

    Phone: (708) 733-7200

    Fax: (708) 733-7222

    Type: Location

  • 18636 DIXIE HWY

    HOMEWOOD, IL 604303741

    Phone: (708) 647-0571

    Fax: (708) 647-0676

    Type: Location

  • 35318 EAGLE WAY

    CHICAGO, IL 606780353

    Phone: (317) 528-4800

    Fax: (317) 865-1479

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $211.

Total Amount is formed as General ($211) + Research ($0) + Ownership ($0) = $211.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Gilead Sciences, Inc. ($116).

Total Amount

$211

General + Research + Ownership

Payments

6

Total payment records

General Amount

$211

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2016-05-24

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160524000140INurse PractitionerILTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes8274$0
87804Detection test by immunoassay with direct visual observation for influenza virus2620$0
99203New patient office or other outpatient visit, 30-44 minutes2626$0
81002Urinalysis, manual test2321$0
87635Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen2221$0
View full utilization report →

Insurance plans in this area (ZIP 60430)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4183529456View full group profile

Reviews

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Frequently asked questions

How is DELOVELY GLORIA JACKSON (FNP) identified in CMS data?
CMS-hosted NPPES data lists DELOVELY GLORIA JACKSON (FNP) with NPI 1013370857.
Is DELOVELY GLORIA JACKSON (FNP) listed as active for patients and plans?
The listing shows DELOVELY GLORIA JACKSON (FNP) as active in the NPI system.
What taxonomy line describes DELOVELY GLORIA JACKSON (FNP)?
For research purposes, treat DELOVELY GLORIA JACKSON (FNP) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Does DELOVELY GLORIA JACKSON (FNP) list a practice location?
Patients near Homewood, Illinois may find DELOVELY GLORIA JACKSON (FNP) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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