SIMONE JACKSON (NP) – Family Nurse Practitioner, NPI 1134644396
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,947 NURSE PRACTITIONER in NV
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Provider Addresses for SIMONE JACKSON (NP)
5250 STEWART AVE APT 2009
LAS VEGAS, NV 891103645
Phone: (901) 283-1975
Type: Mailing
9005 W OQUENDO RD APT 3036
LAS VEGAS, NV 891481524
Phone: (901) 283-1975
Type: Mailing
South Pecos Road, Henderson, Clark County, Nevada, 89074, United States
HENDERSON, NV 890747199
Phone: (901) 283-1975
Fax: (901) 283-1975
Type: Location
101 CONVENTION CENTER DR STE 900
LAS VEGAS, NV 891092039
Phone: (702) 355-8294
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 201 Open Payments records for all available years, with a total value of $3,911.
Total Amount is formed as General ($3,911) + Research ($0) + Ownership ($0) = $3,911.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($749).
Total Amount
$3,911
General + Research + Ownership
Payments
201
Total payment records
General Amount
$3,911
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2017-12-07
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 |
|---|---|---|---|---|
| I20171207001912 | I | Nurse Practitioner | NV | 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 | 265 | 108 | $0 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 13 | 13 | $0 |
Insurance plans in this area (ZIP 89110)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NV | |
| Nurse Practitioner | NV | |
| - | NV | |
| Clinical Social Worker | WY | |
| - | NV | |
| - | NV | |
| - | NV | |
| - | NV | |
| - | NV | |
| - | NV |
Reviews
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