VALERIE JACKSON (APNP) – Family Nurse Practitioner, NPI 1932689676

VALERIE JACKSON (APNP) is a healthcare provider. based in Green bay, Wisconsin. specializing in NURSE PRACTITIONER. They hold the professional credentials APNP. They hold a License No. 860933 (WI). The NPI Number for VALERIE JACKSON (APNP) is 1932689676

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
VALERIE JACKSON (APNP)
NPI
1932689676
Phone
(920) 433-8586
Address
835 S VAN BUREN ST
Enumeration Date
21 August 2018
Last Update Date
8 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3094513376
Graduation Year
2017 (9 years ago)
PAC ID
8729330485
Group Practice PAC ID
3870732191
Professional Enrollment ID
I20230612002508
Address ID
IL619209427CH100XXDEER200
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

6,066 NURSE PRACTITIONER in WI

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Provider Addresses for VALERIE JACKSON (APNP)

  • Saint Vincent Hospital, 835, South Van Buren Street, Astor, Green Bay, Brown County, Wisconsin, 54307, United States

    GREEN BAY, WI 543013526

    Phone: (920) 433-8586

    Type: Mailing

  • 2920 S MCINTIRE DR STE 103

    BLOOMINGTON, IN 474034213

    Phone: (812) 353-2870

    Type: Mailing

  • 100 DEERPATH

    CHARLESTON, IL 619209427

    Phone: (217) 234-8000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 48 Open Payments records for all available years, with a total value of $1,299.

Total Amount is formed as General ($1,299) + Research ($0) + Ownership ($0) = $1,299.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Janssen Biotech, Inc. ($144).

Total Amount

$1,299

General + Research + Ownership

Payments

48

Total payment records

General Amount

$1,299

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2023-06-12

PECOS data refreshed: 2026-06-15

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
I20230612002508INurse PractitionerILTBD

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
17003Destruction of precancer skin growth, 2-14 growths24260$0
99213Established patient office or other outpatient visit, 20-29 minutes155134$0
17000Destruction of precancer skin growth, 1 growth8179$0
17110Destruction of skin growth, 1-14 growths5048$0
11102Biopsy of related skin growth, first growth4343$0
View full utilization report →

Insurance plans in this area (ZIP 54301)

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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: 3870732191View full group profile
NameSpecialtyState
Nurse PractitionerIL
Dermatology, Micrographic Dermatologic Surgery (Mds)IL
Physician AssistantIL
-IL
Nurse PractitionerIL
Nurse PractitionerIL
D E R M A T O L O G YIL

Reviews

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Frequently asked questions

How do I look up VALERIE JACKSON (APNP) by NPI?
Use NPI 1932689676 when you need to reference VALERIE JACKSON (APNP) in forms, claims, or directories.
Is VALERIE JACKSON (APNP) currently active in the NPI registry?
CMS-published data lists VALERIE JACKSON (APNP) as an active registrant.
What field does VALERIE JACKSON (APNP) work in?
You can think of VALERIE JACKSON (APNP) as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place VALERIE JACKSON (APNP)?
The snapshot lists Green Bay, Wisconsin for VALERIE JACKSON (APNP); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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