MS. ELIZABETH ANN JACKSON (APRN-CNS) – Acute Care Clinical Nurse Specialist, NPI 1184121907

MS. ELIZABETH ANN JACKSON (APRN-CNS) is a healthcare provider. based in Edmond, Oklahoma. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN-CNS. They hold a License No. 00085963 (OK). The NPI Number for MS. ELIZABETH ANN JACKSON (APRN-CNS) is 1184121907

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
MS. ELIZABETH ANN JACKSON (APRN-CNS)
NPI
1184121907
Phone
(405) 323-9744
Address
1 S BRYANT AVE
Enumeration Date
9 April 2018
Last Update Date
2 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4052713445
Graduation Year
2013 (13 years ago)
PAC ID
4284068529
Group Practice PAC ID
5991105876
Professional Enrollment ID
I20241016001624
Address ID
OK731045040OK1000XSTXX476
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

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Provider Addresses for MS. ELIZABETH ANN JACKSON (APRN-CNS)

  • OU Medical Center, 1, South Bryant Avenue, Edmond, Oklahoma County, Oklahoma, 73034, United States

    EDMOND, OK 730346398

    Phone: (405) 323-9744

    Type: Location

  • 105, South Bryant Avenue, Edmond, Oklahoma County, Oklahoma, 73034, United States

    STE 101

    EDMOND, OK 730346330

    Phone: (405) 622-3063

    Fax: (855) 680-8890

    Type: Mailing

  • 5300 N INDEPENDENCE AVE STE 280

    OKLAHOMA CITY, OK 731125555

    Phone: (405) 713-9900

    Fax: (405) 713-9920

    Type: Mailing

  • 3400 NW EXPRESSWAY STE 200

    OKLAHOMA CITY, OK 731124491

    Phone: (405) 713-9900

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $204.

Total Amount is formed as General ($204) + Research ($0) + Ownership ($0) = $204.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Stryker Corporation ($128).

Total Amount

$204

General + Research + Ownership

Payments

3

Total payment records

General Amount

$204

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

Top Companies

Largest payers in this snapshot

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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: 2024-10-16

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
I20241016001624INurse PractitionerOKTBD

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 73034)

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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: 5991105876View full group profile
NameSpecialtyState
Diagnostic RadiologyOK
O P H T H A L M O L O G YOK
Certified Registered Nurse Anesthetist (Crna)OK
R H E U M A T O L O G YOK
Nurse PractitionerOK
Certified Registered Nurse Anesthetist (Crna)OK
Certified Registered Nurse Anesthetist (Crna)OK
Family Practice, HospitalistOK
Medical OncologyRI
Clinical Social WorkerOK

Reviews

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Frequently asked questions

Can I cross-check MS. ELIZABETH ANN JACKSON (APRN-CNS) using NPI 1184121907?
NPI 1184121907 belongs to MS. ELIZABETH ANN JACKSON (APRN-CNS); compare other details if you need extra assurance.
Is MS. ELIZABETH ANN JACKSON (APRN-CNS) shown as active in public data?
Registry records indicate MS. ELIZABETH ANN JACKSON (APRN-CNS) maintains an active NPI.
What expertise is attributed to MS. ELIZABETH ANN JACKSON (APRN-CNS)?
MS. ELIZABETH ANN JACKSON (APRN-CNS)'s specialty line reads Acute Care Clinical Nurse Specialist. Clinical services aligned with this taxonomy classification.
Is MS. ELIZABETH ANN JACKSON (APRN-CNS) located near Edmond?
MS. ELIZABETH ANN JACKSON (APRN-CNS) currently maps to Edmond, Oklahoma in this extract.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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