Jennifer Nicole Jackson, ACNP - Medicare Nurse Practitioner in Lake Forest, IL

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Jennifer Nicole Jackson, ACNP is a medicare enrolled "Nurse Practitioner" in Lake Forest, Illinois. Her current practice location is 1000 N Westmoreland Rd, Lake Forest, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 535-6150.

Jennifer Nicole Jackson is licensed to practice in Illinois (license number 209005759) 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 1629285457.

Contact Information

Jennifer Nicole Jackson, ACNP
1000 N Westmoreland Rd,
Lake Forest, IL 60045-1658
(847) 535-6150
Not Available

Map and Direction




Provider's Profile

Full NameJennifer Nicole Jackson
GenderFemale
SpecialityNurse Practitioner
Location1000 N Westmoreland Rd, Lake Forest, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1629285457
  • Provider Enumeration Date: 05/17/2007
  • Last Update Date: 02/04/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8628169091
  • Enrollment ID: I20070814000736

Medical Identifiers

Medical identifiers for Jennifer Nicole Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629285457NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care 209005759 (Illinois)Secondary
363L00000XNurse Practitioner 209005759 (Illinois)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. Jennifer Nicole Jackson allows following entities to bill medicare on her behalf.
Entity NameNorthwestern Medical Faculty Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346235314
PECOS PAC ID: 4587576814
Enrollment ID: O20031105000541
Entity NameThe Board Of Trustees Of The University Of Illinois
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386863819
PECOS PAC ID: 3072422716
Enrollment ID: O20031112000158
Entity NameNorthshore University Healthsystem Faculty Practice Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497701882
PECOS PAC ID: 2163334699
Enrollment ID: O20040524000118

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. Jennifer Nicole 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
Jennifer Nicole Jackson, ACNP
1000 N Westmoreland Rd,
Lake Forest, IL 60045-1658

Ph: (847) 535-6150		Jennifer Nicole Jackson, ACNP
1000 N Westmoreland Rd,
Lake Forest, IL 60045-1658

Ph: (847) 535-6150

Reviews and Comments


Nurse Practitioner Nurses in Lake Forest, IL

Katie L Konopacz, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1000 N Westmoreland Rd # B, Lake Forest, IL 60045
Phone: 847-535-3278    
Melissa Hilb, CPNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 900 N Westmoreland Rd, Suite 110, Lake Forest, IL 60045
Phone: 847-295-1220    Fax: 847-295-1255
Melissa Katelyn Battista, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 555 N Sheridan Rd, Lake Forest, IL 60045
Phone: 847-735-5050    Fax: 847-735-6284
Armando Comas, APRN, CNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1000 N Westmoreland Rd, Lake Forest, IL 60045
Phone: 847-535-6150    Fax: 847-535-7801
Mrs. Cynthia H. Leaker, MSN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 660 N Westmoreland Rd, Lake Forest Hospital Emergency Department, Lake Forest, IL 60045
Phone: 312-259-9943    
Andrea C Komsri, APRN, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1000 N Westmoreland Rd, Pavilion B, Level 1, Lake Forest, IL 60045
Phone: 847-534-3278    
Carly Cooper, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1000 N Westmoreland Rd, Lake Forest, IL 60045
Phone: 847-234-5600    

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.