MISS FREDDA NAKIA JACKSON (MSN, APN-C) – Acute Care Nurse Practitioner, NPI 1487968012

MISS FREDDA NAKIA JACKSON (MSN, APN-C) is a healthcare provider. based in Boston, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN, APN-C. They hold a License No. 26NJ00264900 (NJ). The NPI Number for MISS FREDDA NAKIA JACKSON (MSN, APN-C) is 1487968012

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
MISS FREDDA NAKIA JACKSON (MSN, APN-C)
NPI
1487968012
Phone
(973) 656-6280
Address
PO BOX 416457
Enumeration Date
6 August 2010
Last Update Date
19 December 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2020 (6 years ago)
PAC ID
7012188600
Group Practice PAC ID
7618887340
Professional Enrollment ID
I20110912000012
Address ID
NJ074812159WY301XXAVEX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

7,515 NURSE PRACTITIONER in NJ

Provider Addresses for MISS FREDDA NAKIA JACKSON (MSN, APN-C)

  • PO BOX 416457

    BOSTON, MA 022416457

    Phone: (973) 656-6280

    Type: Mailing

  • 100 MADISON AVE

    MORRISTOWN, NJ 079606136

    Phone: (201) 704-8416

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 31 Open Payments records for all available years, with a total value of $764.

Total Amount is formed as General ($764) + Research ($0) + Ownership ($0) = $764.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Neurocrine BioSciences Inc. ($354).

Total Amount

$764

General + Research + Ownership

Payments

31

Total payment records

General Amount

$764

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

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: 2011-09-12

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
I20110912000012INurse PractitionerNJTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes37263$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes23168$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes3217$0
90792Psychiatric diagnostic evaluation with medical services1919$0
View full utilization report →

Insurance plans in this area (ZIP 02241)

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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: 7618887340View full group profile
NameSpecialtyState
P S Y C H I A T R YNJ
Nurse PractitionerNJ
P S Y C H I A T R YNJ
Physical Medicine And RehabilitationPA
Nurse PractitionerNJ
Nurse PractitionerNJ
-NJ
Family Practice, HospitalistPA
P S Y C H I A T R YNJ
Nurse PractitionerNJ

Reviews

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Frequently asked questions

Can I use this page to confirm MISS FREDDA NAKIA JACKSON (MSN, APN-C)'s NPI?
Yes. MISS FREDDA NAKIA JACKSON (MSN, APN-C) is listed with NPI 1487968012 in the public NPI dataset.
Can I rely on MISS FREDDA NAKIA JACKSON (MSN, APN-C) being an active provider?
As of the registry snapshot, MISS FREDDA NAKIA JACKSON (MSN, APN-C) is marked active.
What taxonomy line describes MISS FREDDA NAKIA JACKSON (MSN, APN-C)?
For research purposes, treat MISS FREDDA NAKIA JACKSON (MSN, APN-C) as Acute Care Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What area does MISS FREDDA NAKIA JACKSON (MSN, APN-C) serve?
MISS FREDDA NAKIA JACKSON (MSN, APN-C)'s listing highlights Boston, Massachusetts; more addresses can appear in NPPES.
Why does MISS FREDDA NAKIA JACKSON (MSN, APN-C) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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