Jasmine Shanae Jackson, NP - Medicare Nurse Practitioner in Petersburg, VA

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Jasmine Shanae Jackson, NP is a medicare enrolled "Nurse Practitioner - Family" in Petersburg, Virginia. Her current practice location is 3400 S Crater Rd Ste B, Petersburg, Virginia. You can reach out to her office (for appointments etc.) via phone at (804) 733-6960.

Jasmine Shanae Jackson is licensed to practice in Virginia (license number 0024178156) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1578112496.

Contact Information

Jasmine Shanae Jackson, NP
3400 S Crater Rd Ste B,
Petersburg, VA 23805
(804) 733-6960
Not Available

Map and Direction




Provider's Profile

Full NameJasmine Shanae Jackson
GenderFemale
SpecialityNurse Practitioner - Family
Location3400 S Crater Rd Ste B, Petersburg, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1578112496
  • Provider Enumeration Date: 09/04/2019
  • Last Update Date: 09/06/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 5597197525
  • Enrollment ID: I20191113002107

Medical Identifiers

Medical identifiers for Jasmine Shanae Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578112496NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 0024178156 (Virginia)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jasmine Shanae Jackson allows following entities to bill medicare on her behalf.
Entity NameVirta Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093225138
PECOS PAC ID: 1355770157
Enrollment ID: O20220331000011

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jasmine Shanae Jackson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jasmine Shanae Jackson, NP
3400 S Crater Rd Ste B,
Petersburg, VA 23805-9252

Ph: (804) 733-6960		Jasmine Shanae Jackson, NP
3400 S Crater Rd Ste B,
Petersburg, VA 23805

Ph: (804) 733-6960

Reviews and Comments


Nurse Practitioner Nurses in Petersburg, VA

Ms. Nancy Joyner Gauldin, CNP
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Phone: 804-863-1652    Fax: 804-862-6126
Olivia Mendoza, NP
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Phone: 804-861-0700    
Linda P. Whiteley, NP
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Phone: 804-862-1652    
Jocelyn L Burls, NP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 321c Poplar Dr, Petersburg, VA 23805
Phone: 804-733-5591    
Chiquita Michone Thomas-jackson, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3916 S Crater Rd, Petersburg, VA 23805
Phone: 804-526-4300    
Ms. Erica Lynn Bagby, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 321c Poplar Dr, Petersburg, VA 23805
Phone: 804-733-5591    Fax: 804-733-3506
Ms. Evelyn Maria Cason, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 849 S Sycamore St Ste A, Petersburg, VA 23803
Phone: 804-715-1031    Fax: 804-203-4722

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.