Nichole Rose Jackson, NP-C - Nurse Practitioner in Fargo, ND

Nichole Rose Jackson, NP-C is a Nurse Practitioner based in Fargo, North Dakota. Nichole Rose Jackson is licensed to practice in North Dakota (license number R31008) and her current practice location is 3175 Sienna Dr S, Fargo, North Dakota. She can be reached at her office (for appointments etc.) via phone at (701) 205-3088.

NPI number for Nichole Rose Jackson is 1184988438 and her current mailing address is 530 3rd St E, West Fargo, North Dakota. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1184988438.

Contact Information

Nichole Rose Jackson, NP-C
3175 Sienna Dr S,
Fargo, ND 58104-8910
(701) 205-3088
(701) 335-7808

Map and Direction




Provider's Profile

Full NameNichole Rose Jackson
GenderFemale
SpecialityNurse Practitioner
Location3175 Sienna Dr S, Fargo, North Dakota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1184988438
  • Provider Enumeration Date: 07/02/2012
  • Last Update Date: 09/23/2016

Medical Identifiers

Medical identifiers for Nichole Rose Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184988438NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner R31008 (North Dakota)Primary

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. Nichole Rose Jackson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nichole Rose Jackson, NP-C
530 3rd St E,
West Fargo, ND 58078-2711

Ph: (701) 205-3088
Nichole Rose Jackson, NP-C
3175 Sienna Dr S,
Fargo, ND 58104-8910

Ph: (701) 205-3088

Reviews and Comments


Nurse Practitioner Nurses in Fargo, ND

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Medicare: Accepting Medicare Assignments
Practice Location: 3000 32nd Ave S, Fargo, ND 58103
Phone: 701-364-8000    Fax: 701-364-8078
Erin Marie Wilmes Reiniger, APRN, FNP-C
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Medicare: Accepting Medicare Assignments
Practice Location: 4671 38th St S, Fargo, ND 58104
Phone: 701-404-5100    Fax: 701-499-1166

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.