LORI ANN JACKSON (ARNP) – Family Nurse Practitioner, NPI 1235695677

LORI ANN JACKSON (ARNP) is a healthcare provider. based in Campbellsville, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials ARNP. They hold a License No. 3012954 (KY). The NPI Number for LORI ANN JACKSON (ARNP) is 1235695677

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
LORI ANN JACKSON (ARNP)
NPI
1235695677
Phone
(270) 465-8133
Address
150 W BEAR TRACK RD
Enumeration Date
11 February 2019
Last Update Date
26 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2707814043
Graduation Year
2018 (8 years ago)
PAC ID
5193068005
Group Practice PAC ID
4082511167
Professional Enrollment ID
I20190516001617
Address ID
KY421033404BO990XXTRAC300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

7,347 NURSE PRACTITIONER in KY

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Provider Addresses for LORI ANN JACKSON (ARNP)

  • 150, West Bear Track Road, Taylor County, Kentucky, 42718, United States

    CAMPBELLSVILLE, KY 427188709

    Phone: (270) 465-8133

    Fax: (270) 789-1543

    Type: Mailing

  • 201 PARK ST

    BOWLING GREEN, KY 421011708

    Phone: (270) 781-5111

    Type: Mailing

  • 990 WILKINSON TRCE

    BOWLING GREEN, KY 421033404

    Phone: (270) 781-4043

    Fax: (270) 781-0778

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2019-05-16

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
I20190516001617INurse PractitionerKYTBD

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg8011$0
99213Established patient office or other outpatient visit, 20-29 minutes1919$0
96372Injection of drug or substance under skin or into muscle1616$0
View full utilization report →

Insurance plans in this area (ZIP 42718)

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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: 4082511167View full group profile

Reviews

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Frequently asked questions

Is LORI ANN JACKSON (ARNP) listed with a National Provider Identifier?
Yes — LORI ANN JACKSON (ARNP) has NPI 1235695677 on file in the registry.
Is LORI ANN JACKSON (ARNP) still an active registrant?
LORI ANN JACKSON (ARNP) carries an active NPI according to the public dataset.
What kind of doctor is LORI ANN JACKSON (ARNP)?
LORI ANN JACKSON (ARNP) is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Is LORI ANN JACKSON (ARNP) located near Campbellsville?
LORI ANN JACKSON (ARNP) currently maps to Campbellsville, Kentucky in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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