MS. BRIANNE MICHELLE JACKSON (FNP-BC) – Family Nurse Practitioner, NPI 1063922870

MS. BRIANNE MICHELLE JACKSON (FNP-BC) is a healthcare provider. based in East liverpool, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. 404613 (OH). The NPI Number for MS. BRIANNE MICHELLE JACKSON (FNP-BC) is 1063922870

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
MS. BRIANNE MICHELLE JACKSON (FNP-BC)
NPI
1063922870
Phone
(330) 385-8280
Address
14601 OLD FREDERICKTOWN RD
Enumeration Date
6 October 2017
Last Update Date
6 October 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3303862957
Graduation Year
2017 (9 years ago)
PAC ID
1254607302
Group Practice PAC ID
1951404540
Professional Enrollment ID
I20171018000886
Address ID
OH439202405EA425XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:8State licenses:3Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

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Provider Addresses for MS. BRIANNE MICHELLE JACKSON (FNP-BC)

  • 14601 OLD FREDERICKTOWN RD

    EAST LIVERPOOL, OH 439209526

    Phone: (330) 385-8280

    Type: Mailing

  • East Liverpool City Hospital, 425, West 5th Street, Diamond Historic District, Jethro, East Liverpool, Columbiana County, Ohio, 43920, United States

    EAST LIVERPOOL, OH 439202405

    Phone: (330) 385-7200

    Type: Location

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: 2017-10-18

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
I20171018000886INurse PractitionerOHTBD

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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes1,075417$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes424244$0
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes181181$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes107107$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes2717$0
View full utilization report →

Insurance plans in this area (ZIP 43920)

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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: 1951404540View full group profile
NameSpecialtyState
-OH
Clinical Social WorkerOH
Nurse PractitionerPA
Nurse PractitionerOH
Physician AssistantOH
Mental Health CounselorOH
Nurse PractitionerOH
P S Y C H I A T R YOH
Nurse PractitionerOH
Mental Health CounselorOH

Reviews

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Frequently asked questions

What federal number belongs to MS. BRIANNE MICHELLE JACKSON (FNP-BC)?
The federal identifier for MS. BRIANNE MICHELLE JACKSON (FNP-BC) is NPI 1063922870.
Is MS. BRIANNE MICHELLE JACKSON (FNP-BC) active in the national directory?
MS. BRIANNE MICHELLE JACKSON (FNP-BC)'s public NPI profile is in an active state.
What does MS. BRIANNE MICHELLE JACKSON (FNP-BC) treat or focus on?
Patients typically see MS. BRIANNE MICHELLE JACKSON (FNP-BC) under the specialty Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is MS. BRIANNE MICHELLE JACKSON (FNP-BC)'s primary listing?
We display East Liverpool, Ohio because that is what the record indicates for MS. BRIANNE MICHELLE JACKSON (FNP-BC).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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