LORI JACKSON (NP-C) – Family Nurse Practitioner, NPI 1528565710
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
762 NURSE PRACTITIONER in AK
Loading map...
Provider Addresses for LORI JACKSON (NP-C)
17115 MONROE DR NW
ELK RIVER, MN 553304307
Phone: (612) 239-3393
Type: Mailing
Saint George Island, Saint Mary's County, Maryland, 20674, United States
SAINT GEORGE ISLAND, AK 99591
Phone: (907) 859-2254
Fax: (907) 859-2252
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2019-12-04
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 |
|---|---|---|---|---|
| I20191204001141 | I | Nurse Practitioner | TX | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 64 | 24 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 39 | 22 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 25 | 12 | $0 |
| 87635 | Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | 20 | 15 | $0 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 16 | 16 | $0 |
Insurance plans in this area (ZIP 55330)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Psychologist | AK | |
| Mental Health Counselor | AK | |
| Clinical Psychologist | AK | |
| Mental Health Counselor | AK | |
| Nurse Practitioner | TN | |
| Clinical Social Worker | AK | |
| Mental Health Counselor | AK | |
| Clinical Psychologist | AK | |
| Nurse Practitioner | AK | |
| Mental Health Counselor | AK |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.