Amelia Dee Jackson, NP-C - Medicare Nurse Practitioner in Gravette, AR

Amelia Dee Jackson, NP-C is a medicare enrolled "Nurse Practitioner" in Gravette, Arkansas. Her current practice location is 1101 Jackson St Sw, Gravette, Arkansas. You can reach out to her office (for appointments etc.) via phone at (479) 787-5221.

Amelia Dee Jackson is licensed to practice in Arkansas (license number A004287) 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 1093105918.

Contact Information

Amelia Dee Jackson, NP-C
1101 Jackson St Sw,
Gravette, AR 72736-9121
(479) 787-5221
(479) 787-9692

Map and Direction




Provider's Profile

Full NameAmelia Dee Jackson
GenderFemale
SpecialityNurse Practitioner
Location1101 Jackson St Sw, Gravette, Arkansas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1093105918
  • Provider Enumeration Date: 01/30/2015
  • Last Update Date: 10/13/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4486970183
  • Enrollment ID: I20150223001527

Medical Identifiers

Medical identifiers for Amelia Dee Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093105918NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner A004287 (Arkansas)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. Amelia Dee Jackson allows following entities to bill medicare on her behalf.
Entity NameSgoh Acquisition Inc
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1568643005
PECOS PAC ID: 5092616276
Enrollment ID: O20081016000559

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. Amelia Dee 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
Amelia Dee Jackson, NP-C
1101 Jackson St Sw,
Gravette, AR 72736-9121

Ph: (479) 787-5221
Amelia Dee Jackson, NP-C
1101 Jackson St Sw,
Gravette, AR 72736-9121

Ph: (479) 787-5221

Reviews and Comments


Nurse Practitioner Nurses in Gravette, AR

Gregory Scott Forrester, PMHNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1101 Jackson St Sw, Gravette, AR 72736
Phone: 479-344-6870    Fax: 479-344-6865
Tamra T Lamer, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1101 Jackson St Sw, Gravette, AR 72736
Phone: 479-787-5221    Fax: 479-787-1060
Ms. Melody A Walls, ACNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1101 Jackson St Sw, Gravette, AR 72736
Phone: 479-787-5221    Fax: 479-787-5613
Sonrisa Holmes, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1101 Jackson St Sw, Gravette, AR 72736
Phone: 479-787-5291    Fax: 479-344-6404
Ashlea Nicole Ritter, PMHNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1101 Jackson St Sw, Gravette, AR 72736
Phone: 479-787-5291    Fax: 479-344-6404
Mrs. Tracy Leigh Lowry, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1101 Jackson St Sw, Gravette, AR 72736
Phone: 479-787-5221    Fax: 479-787-5613

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.