Michelle Lynn Jackson, APRN - Medicare Nurse Practitioner in Peoria, IL

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Michelle Lynn Jackson, APRN is a medicare enrolled "Nurse Practitioner - Family" physician in Peoria, Illinois. She graduated from medical school in 2018 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Hammond Henry Dist Hospital and her current practice location is 8914 N Knoxville Ave, Peoria, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 691-9110.

Michelle Lynn Jackson is licensed to practice in Illinois (license number 209019281) 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 1790347722.

Contact Information

Michelle Lynn Jackson, APRN
8914 N Knoxville Ave,
Peoria, IL 61615-1410
(309) 691-9110
Not Available

Map and Direction




Physician's Profile

Full NameMichelle Lynn Jackson
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location8914 N Knoxville Ave, Peoria, 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:
  • Michelle Lynn Jackson graduated from medical school in 2018
  NPI Data:
  • NPI Number: 1790347722
  • Provider Enumeration Date: 06/29/2019
  • Last Update Date: 12/14/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0749612554
  • Enrollment ID: I20191118000138

Medical Identifiers

Medical identifiers for Michelle Lynn Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790347722NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 209.019281 (Illinois)Secondary
363LF0000XNurse Practitioner - Family 209019281 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Hammond Henry HospitalGeneseo, ILHospital
Osf Saint Lukes Medical CenterKewanee, ILHospital
Saint Francis Medical CenterPeoria, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hammond Henry Dist Hospital014311594940

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. Michelle Lynn Jackson allows following entities to bill medicare on her behalf.
Entity NameProctor Health Systems
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134173917
PECOS PAC ID: 3476440173
Enrollment ID: O20040227000906
Entity NameIowa Physicians Clinic Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366425274
PECOS PAC ID: 8729992318
Enrollment ID: O20040512000055
Entity NameHammond Henry Dist Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457344491
PECOS PAC ID: 0143115949
Enrollment ID: O20071211000175
Entity NameHammond Henry Dist Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629517313
PECOS PAC ID: 0143115949
Enrollment ID: O20170511000385

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. Michelle Lynn 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
Michelle Lynn Jackson, APRN
8914 N Knoxville Ave,
Peoria, IL 61615-1410

Ph: (309) 691-9110		Michelle Lynn Jackson, APRN
8914 N Knoxville Ave,
Peoria, IL 61615-1410

Ph: (309) 691-9110

Reviews and Comments



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.