MRS. MERRICK GREENE JACKSON (NP) – Family Nurse Practitioner, NPI 1003420092
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,566 NURSE PRACTITIONER in MS
Provider Addresses for MRS. MERRICK GREENE JACKSON (NP)
120 NATALIE LN
HATTIESBURG, MS 394023080
Phone: (601) 938-5197
Type: Mailing
3688 VETERANS MEMORIAL DR STE 200
HATTIESBURG, MS 394018246
Phone: (601) 554-7400
Type: Location
1430 JEFFERSON ST
LAUREL, MS 394404243
Phone: (601) 425-2273
Fax: (601) 426-9637
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $1,250.
Total Amount is formed as General ($1,250) + Research ($0) + Ownership ($0) = $1,250.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Boston Scientific Corporation ($1,250).
Total Amount
$1,250
General + Research + Ownership
Payments
9
Total payment records
General Amount
$1,250
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $1,250 |
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: 2021-10-11
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 |
|---|---|---|---|---|
| I20211011001175 | I | Nurse Practitioner | MS | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 835 | 548 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 549 | 411 | $0 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 179 | 51 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 137 | 122 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 105 | 58 | $0 |
Insurance plans in this area (ZIP 39402)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | MS | |
| Anesthesiology, Family Practice | MS | |
| Physician Assistant | MS | |
| Orthopedic Surgery | MS | |
| Diagnostic Radiology | TX | |
| Nurse Practitioner | MS | |
| Physician Assistant | MS | |
| Physician Assistant | MS | |
| Orthopedic Surgery, Sports Medicine | MS | |
| Physical Therapist In Private Practice | MS |
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