JACKSON POKRES (PMHNP -BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1033945381

JACKSON POKRES (PMHNP -BC) is a healthcare provider. based in Northfield, New Jersey. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP -BC. They hold a License No. 26NJ15128800 (NJ). The NPI Number for JACKSON POKRES (PMHNP -BC) is 1033945381

Main info

Male
Sole Proprietor
2 Years Of Experience
Name
JACKSON POKRES (PMHNP -BC)
NPI
1033945381
Phone
(609) 350-3218
Address
406 NORTHFIELD AVE
Enumeration Date
12 September 2024
Last Update Date
20 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7328935316
Graduation Year
2024 (2 years ago)
PAC ID
1850811415
Group Practice PAC ID
1658615638
Professional Enrollment ID
I20250226001125
Address ID
NJ087573765TO3XXXXDRXX305
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

7,515 NURSE PRACTITIONER in NJ

Provider Addresses for JACKSON POKRES (PMHNP -BC)

  • 406 NORTHFIELD AVE

    NORTHFIELD, NJ 082251823

    Phone: (609) 350-3218

    Fax: (732) 454-5321

    Mailing address matches the actual address.

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: 2025-02-26

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
I20250226001125INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 08225)

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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: 1658615638View full group profile
NameSpecialtyState
Nurse PractitionerNJ
Nurse PractitionerNJ
Certified Clinical Nurse Specialist (Cns)NJ
Nurse PractitionerNJ
Nurse PractitionerNJ
Clinical Social WorkerNJ
Nurse PractitionerNJ
Nurse PractitionerNJ
Nurse PractitionerNJ
Clinical Social WorkerNJ

Reviews

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Frequently asked questions

What number should I use to identify JACKSON POKRES (PMHNP -BC) for billing?
Administrative and clinical systems typically use NPI 1033945381 for JACKSON POKRES (PMHNP -BC).
Should I treat JACKSON POKRES (PMHNP -BC) as an active provider?
Patients and plans typically see JACKSON POKRES (PMHNP -BC) as active in the national extract.
What type of care does JACKSON POKRES (PMHNP -BC) provide?
JACKSON POKRES (PMHNP -BC)'s profile centers on Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to JACKSON POKRES (PMHNP -BC)?
JACKSON POKRES (PMHNP -BC) shows a connection to Northfield, New Jersey in registry-derived data.
Who maintains JACKSON POKRES (PMHNP -BC)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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