Kimberly Ann Jackson, NP - Medicare Nurse Practitioner in Mount Vernon, IN

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Kimberly Ann Jackson, NP is a medicare enrolled "Nurse Practitioner" in Mount Vernon, Indiana. Her current practice location is 813 E 4th St, Ste A, Mount Vernon, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 838-2139.

Kimberly Ann Jackson is licensed to practice in Indiana (license number 71003090A) 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 1699001289.

Contact Information

Kimberly Ann Jackson, NP
813 E 4th St, Ste A,
Mount Vernon, IN 47620-2012
(812) 838-2139
(812) 838-9214

Map and Direction




Provider's Profile

Full NameKimberly Ann Jackson
GenderFemale
SpecialityNurse Practitioner
Location813 E 4th St, Mount Vernon, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1699001289
  • Provider Enumeration Date: 11/02/2009
  • Last Update Date: 01/03/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 7517094279
  • Enrollment ID: I20100428000963

Medical Identifiers

Medical identifiers for Kimberly Ann Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699001289NPI-NPPES
200976080MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 71003090A (Indiana)Primary
363LF0000XNurse Practitioner - Family 71003090A (Indiana)Secondary

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. Kimberly Ann Jackson allows following entities to bill medicare on her behalf.
Entity NameDeaconess Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619123585
PECOS PAC ID: 3375610116
Enrollment ID: O20080922000145
Entity NameKj Health Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417770207
PECOS PAC ID: 2365978749
Enrollment ID: O20241209002426

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. Kimberly Ann 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
Kimberly Ann Jackson, NP
Po Box 1510,
Evansville, IN 47706-1510

Ph: (812) 838-2139		Kimberly Ann Jackson, NP
813 E 4th St, Ste A,
Mount Vernon, IN 47620-2012

Ph: (812) 838-2139

Reviews and Comments


Nurse Practitioner Nurses in Mount Vernon, IN

Mrs. Melody Sue Oeth, F.N.P.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1900 W 4th St, Mount Vernon, IN 47620
Phone: 812-838-4891    Fax: 812-838-6595
Keely Nicole Brown, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 813 E 4th St Ste A, Mount Vernon, IN 47620
Phone: 812-450-1325    Fax: 812-838-9214
Leigh Ann Fromm, PMHNP, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 813 E 4th St Ste A, Mount Vernon, IN 47620
Phone: 812-450-1325    Fax: 812-838-9214
Joanna Osterman,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 813 E 4th St, Mount Vernon, IN 47620
Phone: 812-450-1325    Fax: 812-838-9214
Kerrie Rochelle Suits, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1210 Tanglewood Dr, Mount Vernon, IN 47620
Phone: 317-331-3109    Fax: 812-307-3450

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.