DR. STEPHANIE COLLEEN JACKSON (M.D.) – Neurology Physician, NPI 1013177872

DR. STEPHANIE COLLEEN JACKSON (M.D.) is a healthcare provider. based in Cedar rapids, Iowa. specializing in NEUROPSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. 85523-20 (WI). The NPI Number for DR. STEPHANIE COLLEEN JACKSON (M.D.) is 1013177872

Main info

Female
Sole Proprietor
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. STEPHANIE COLLEEN JACKSON (M.D.)
NPI
1013177872
Phone
(319) 398-1721
Address
275 10TH ST SE STE 3320
Enumeration Date
13 June 2008
Last Update Date
28 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6087565555
Graduation Year
2008 (18 years ago)
PAC ID
5092941344
Group Practice PAC ID
7416860440
Professional Enrollment ID
I20250411001711
Address ID
WI535463557JA3400XDRXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness75
Years active:18State licenses:3Digital endpointsOther names

3 NEUROPSYCHIATRY in NV

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Provider Addresses for DR. STEPHANIE COLLEEN JACKSON (M.D.)

  • 275 10TH ST SE STE 3320

    CEDAR RAPIDS, IA 524032450

    Phone: (319) 398-1721

    Type: Mailing

  • 1950, Hope Valley Drive, Reno, Washoe County, Nevada, 89521, United States

    RENO, NV 895213140

    Phone: (901) 428-2046

    Fax: (775) 403-2175

    Type: Mailing

  • 1000 Mineral Point Ave

    Janesville, WI 535482982

    Phone: (608) 756-6868

    Fax: (608) 756-6289

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $301.

Total Amount is formed as General ($301) + Research ($0) + Ownership ($0) = $301.

Last reported payment date: 2024-10-05 • Largest payer in this snapshot: Horizon Therapeutics plc ($69).

Total Amount

$301

General + Research + Ownership

Payments

11

Total payment records

General Amount

$301

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-05

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: 2025-04-11

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20220519000629INeurologyAZTBD
I20230105000221INeurologyIATBD
I20250411001711INeuropsychiatryWITBD

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
95886Needle measurement of electrical activity in arm or leg muscles, complete study153135$0
99215Established patient office or other outpatient visit, 40-54 minutes6940$0
99205New patient office or other outpatient visit, 60-74 minutes6161$0
95908Nerve conduction, 3-4 studies5050$0
95909Nerve conduction, 5-6 studies4949$0
View full utilization report →

Insurance plans in this area (ZIP 52403)

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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: 7416860440View full group profile

Reviews

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Frequently asked questions

Does DR. STEPHANIE COLLEEN JACKSON (M.D.) have a public NPI I can cite?
Public records show DR. STEPHANIE COLLEEN JACKSON (M.D.) under NPI 1013177872.
Is DR. STEPHANIE COLLEEN JACKSON (M.D.)'s NPI status active today?
Active status means DR. STEPHANIE COLLEEN JACKSON (M.D.)'s NPI record is not deactivated in the public file.
What services align with DR. STEPHANIE COLLEEN JACKSON (M.D.)'s listing?
DR. STEPHANIE COLLEEN JACKSON (M.D.)'s public classification highlights Neurology Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. STEPHANIE COLLEEN JACKSON (M.D.)?
DR. STEPHANIE COLLEEN JACKSON (M.D.) shows a connection to Cedar Rapids, Iowa in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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