AMY KOLLEEN JACKSON (M.D.) – Obstetrics & Gynecology Physician, NPI 1609005727
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,818 OBSTETRICS/GYNECOLOGY in OH
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Provider Addresses for AMY KOLLEEN JACKSON (M.D.)
6482, East Main Street, Rose Hill Heights, Briarcliff, Reynoldsburg, Truro Township, Franklin County, Ohio, 43068, United States
SUITE B
REYNOLDSBURG, OH 430687312
Phone: (617) 856-0327
Fax: (614) 856-3300
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)
CMS reports 5 Open Payments records for all available years, with a total value of $89.
Total Amount is formed as General ($89) + Research ($0) + Ownership ($0) = $89.
Last reported payment date: 2024-07-11 • Largest payer in this snapshot: Astellas Pharma US Inc ($38).
Total Amount
$89
General + Research + Ownership
Payments
5
Total payment records
General Amount
$89
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Astellas Pharma US Inc | $38 |
| Sumitomo Pharma America, Inc. | $30 |
| Bayer Healthcare Pharmaceuticals Inc. | $21 |
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: 2013-09-04
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 |
|---|---|---|---|---|
| I20130904000240 | I | Obstetrics/Gynecology | OH | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 43068)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| - | OH | |
| Critical Care (Intensivists) | KY | |
| - | OH | |
| Family Practice | OH | |
| Family Practice | OH | |
| Cardiovascular Disease (Cardiology) | OH | |
| General Surgery | IL | |
| Family Practice | GA | |
| P S Y C H I A T R Y | OH |
Reviews
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