Mrs Patricia Nichole Jackson, NP-C - Medicare Nurse Practitioner in Aurora, IL

Mrs Patricia Nichole Jackson, NP-C is a medicare enrolled "Nurse Practitioner" in Aurora, Illinois. She went to Rush Medical College Of Rush University and graduated in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Endeavor Health Medical Group and her current practice location is 444 N Eola Rd Ste 110, Aurora, Illinois. You can reach out to her office (for appointments etc.) via phone at (630) 692-5660.

Mrs Patricia Nichole Jackson is licensed to practice in Illinois (license number 277.001274) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1457609554.

Contact Information

Mrs Patricia Nichole Jackson, NP-C
444 N Eola Rd Ste 110,
Aurora, IL 60502-9619
(630) 692-5660
Not Available

Map and Direction




Provider's Profile

Full NameMrs Patricia Nichole Jackson
GenderFemale
SpecialityNurse Practitioner
Experience12 Years
Location444 N Eola Rd Ste 110, Aurora, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Patricia Nichole Jackson attended and graduated from Rush Medical College Of Rush University in 2012
  NPI Data:
  • NPI Number: 1457609554
  • Provider Enumeration Date: 08/21/2012
  • Last Update Date: 08/16/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5890949887
  • Enrollment ID: I20130128000367

Medical Identifiers

Medical identifiers for Mrs Patricia Nichole Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457609554NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 209009753 (Illinois)Secondary
363L00000XNurse Practitioner 277.001274 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Edward HospitalNaperville, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Endeavor Health Medical Group21633346992710

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. Mrs Patricia Nichole Jackson allows following entities to bill medicare on her behalf.
Entity NameEdward Health Ventures
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962452912
PECOS PAC ID: 4284531484
Enrollment ID: O20031216000616
Entity NameRush-copley Medical Group Nfp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093075848
PECOS PAC ID: 7618864877
Enrollment ID: O20040310001029
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. Mrs Patricia Nichole 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
Mrs Patricia Nichole Jackson, NP-C
444 N Eola Rd Ste 110,
Aurora, IL 60502-9619

Ph: (630) 692-5660
Mrs Patricia Nichole Jackson, NP-C
444 N Eola Rd Ste 110,
Aurora, IL 60502-9619

Ph: (630) 692-5660

Reviews and Comments


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Terra L Kolacki, APRN
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Medicare: Accepting Medicare Assignments
Practice Location: 444 N Eola Rd Ste 110, Aurora, IL 60502
Phone: 630-692-5660    Fax: 630-692-5661

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.