Ms Diana Marie Jackson, FNP in Fort Collins, CO

Ms Diana Marie Jackson, FNP is a medicare enrolled "Nurse Practitioner - Family" in Fort Collins, Colorado. She graduated from nursing school in 2000 and has 24 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Poudre Valley Health Care Inc and her current practice location is 1025 Pennock Pl, Fort Collins, Colorado. You can reach out to her office (for appointments etc.) via phone at (970) 495-8800.

Ms Diana Marie Jackson is licensed to practice in Colorado (license number APN.0004850-NP) 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 1083837843.

Contact Information

	Ms Diana Marie Jackson, FNP
	1025 Pennock Pl, Fort Collins, CO 80524-3257
	(970) 495-8800
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Diana Marie Jackson
Gender	Female
Speciality	Nurse Practitioner
Experience	24 Years
Location	1025 Pennock Pl, Fort Collins, Colorado
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Diana Marie Jackson graduated from nursing school in 2000

NPI Data:

NPI Number: 1083837843
Provider Enumeration Date: 04/10/2007
Last Update Date: 03/14/2016

Medicare PECOS Information:

PECOS PAC ID: 7214086347
Enrollment ID: I20090520000571

Medical Identifiers

Medical identifiers for Ms Diana Marie Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083837843	NPI	-	NPPES
41101359	Medicaid	CO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	573806 (California)	Secondary
363LF0000X	Nurse Practitioner - Family	APN.0004850-NP (Colorado)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Poudre Valley Hospital	Fort collins, CO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Poudre Valley Health Care Inc	7618880709	87

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. Ms Diana Marie Jackson allows following entities to bill medicare on her behalf.

Entity Name	Poudre Valley Health Care Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760492714 PECOS PAC ID: 7618880709 Enrollment ID: O20031105000791

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. Ms Diana Marie 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 Address	Practice Location Address
Ms Diana Marie Jackson, FNP 1025 Pennock Pl, Suite 114, Fort Collins, CO 80524-3257 Ph: (970) 495-8800	Ms Diana Marie Jackson, FNP 1025 Pennock Pl, Fort Collins, CO 80524-3257 Ph: (970) 495-8800

Reviews and Comments

Nurse Practitioner Nurses in Fort Collins, CO

Casey Marie Weller, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1024 S Lemay Ave, Fort Collins, CO 80524 Phone: 970-495-7000 Fax: 303-306-7753
Meghan Elizabeth Vertovec, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1525 Blue Spruce Dr, Fort Collins, CO 80524 Phone: 970-498-6807
Coreen Herron, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1136 E Stuart St Ste 4101, Fort Collins, CO 80525 Phone: 970-670-0913
Ms. Joyce C Honea, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2127 E Harmony Rd, Ste 140, Fort Collins, CO 80528 Phone: 970-297-6250 Fax: 970-297-6260
Katy Pfiffner, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2014 Caribou Dr, Fort Collins, CO 80525 Phone: 970-221-1681
Ms. Lindsay A Bell, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2500 E Prospect Rd, Fort Collins, CO 80525 Phone: 970-493-0112 Fax: 970-493-1794
Mrs. Nancy Marie Reges, ANP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2025 Bighorn Rd, Fort Collins, CO 80525 Phone: 970-229-9800 Fax: 970-229-1421

Ms Diana Marie Jackson, FNP - Medicare Nurse Practitioner in Fort Collins, CO