AMIE KATHLEEN JACKSON – Family Nurse Practitioner, NPI 1679053821
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
14,984 NURSE PRACTITIONER in OH
Provider Addresses for AMIE KATHLEEN JACKSON
6460 Harrison Ave Ste 200
Cincinnati, OH 452477958
Phone: (513) 941-4999
Type: Location
7075 Industrial Rd Ste A
Florence, KY 410423053
Phone: (513) 941-4999
Type: Location
1421 Parker Ct
Springfield, OH 455042855
Phone: (513) 941-4999
Type: Location
1907 11th St
Portsmouth, OH 456624531
Phone: (513) 941-4999
Type: Location
25 Whitney Dr Ste 122
Milford, OH 451508400
Phone: (513) 941-4999
Type: Location
247 Cic Blvd
West Union, OH 456937512
Phone: (513) 941-4999
Type: Location
1435 Cincinnati St
Dayton, OH 454174614
Phone: (513) 941-4999
Type: Location
1718 Central Pkwy
Cincinnati, OH 452142355
Phone: (513) 941-4999
Type: Location
100 Highview Blvd
Columbus, OH 432076023
Phone: (513) 941-4999
Type: Location
680 Northland Blvd
Cincinnati, OH 452403248
Phone: (513) 941-4999
Type: Location
160 N Breiel Blvd
Middletown, OH 450423806
Phone: (513) 941-4999
Type: Location
Harrison Avenue, Cyclorama Heights, Cincinnati, Hamilton County, Ohio, 45211, United States
CINCINNATI, OH 452477957
Phone:
Type: Mailing
1130 GARBRY RD
PIQUA, OH 453568217
Phone: (513) 941-4999
Fax: (513) 694-0168
Type: Location
6460 HARRISON AVE STE 200
CINCINNATI, OH 452477958
Phone: (513) 941-4999
Fax: (513) 694-0168
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $142.
Total Amount is formed as General ($142) + Research ($0) + Ownership ($0) = $142.
Last reported payment date: 2024-07-02 • Largest payer in this snapshot: ABBVIE INC. ($62).
Total Amount
$142
General + Research + Ownership
Payments
7
Total payment records
General Amount
$142
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $62 |
| Braeburn Inc. | $30 |
| Alkermes, Inc. | $18 |
| Otsuka America Pharmaceutical, Inc. | $17 |
| Indivior Inc. | $15 |
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: 2019-12-06
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 |
|---|---|---|---|---|
| I20191206000348 | I | Nurse Practitioner | 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 45247)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | NH | |
| Nurse Practitioner | OH | |
| Physician Assistant | CT | |
| Certified Clinical Nurse Specialist (Cns) | OK | |
| Nurse Practitioner | LA | |
| Physician Assistant | ME | |
| Physician Assistant | ME | |
| Physician Assistant | NV | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | TX |
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