Ms Judith Jackson, NURSE PRACTITIONER - Medicare Nurse Practitioner in Minneapolis, MN

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Ms Judith Jackson, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner" in Minneapolis, Minnesota. 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 Fairview Clinics and her current practice location is 2450 Riverside Ave, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 672-2288.

Ms Judith Jackson is licensed to practice in Minnesota (license number R1144729) 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 1821055880.

Contact Information

Ms Judith Jackson, NURSE PRACTITIONER
2450 Riverside Ave,
Minneapolis, MN 55454-1395
(612) 672-2288
Not Available

Map and Direction




Provider's Profile

Full NameMs Judith Jackson
GenderFemale
SpecialityNurse Practitioner
Experience24 Years
Location2450 Riverside Ave, Minneapolis, Minnesota
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:
  • Ms Judith Jackson graduated from nursing school in 2000
  NPI Data:
  • NPI Number: 1821055880
  • Provider Enumeration Date: 04/26/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 0042254138
  • Enrollment ID: I20050620000671

Medical Identifiers

Medical identifiers for Ms Judith Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821055880NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner R1144729 (Minnesota)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Fairview Clinics7113830142658

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 Judith Jackson allows following entities to bill medicare on her behalf.
Entity NameFairview Clinics
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346432218
PECOS PAC ID: 7113830142
Enrollment ID: O20031106000516
Entity NameHealtheast Medical Research Institute
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639125503
PECOS PAC ID: 3971407636
Enrollment ID: O20031124000507
Entity NameFairview Express Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053952606
PECOS PAC ID: 3375645179
Enrollment ID: O20081028000548

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 Judith 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
Ms Judith Jackson, NURSE PRACTITIONER
6341 26th St N,
Oakdale, MN 55128-3505

Ph: (651) 779-0954		Ms Judith Jackson, NURSE PRACTITIONER
2450 Riverside Ave,
Minneapolis, MN 55454-1395

Ph: (612) 672-2288

Reviews and Comments


Nurse Practitioner Nurses in Minneapolis, MN

Shiao-lin D Hui,
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Mrs. Mary Susan Clipp, CPNP-AC
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Phone: 612-365-3100    Fax: 612-365-3110
Derek Przybylski,
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Dr. Kenneth Mcrae, DNP, APRN, CNP
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Hannah L. Balfanz, FNP
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Phone: 612-888-9792    

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.