Douglas Jackson, NP - Medicare Nurse Practitioner in Richmond, IN

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Douglas Jackson, NP is a medicare enrolled "Nurse Practitioner - Acute Care" in Richmond, Indiana. He graduated from nursing school in 2019 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Sinclair Physician Services, Llc and his current practice location is 1100 Reid Pkwy, Richmond, Indiana. You can reach out to his office (for appointments etc.) via phone at (765) 983-3000.

Douglas Jackson is licensed to practice in Ohio (license number APRN.CNP.0027550) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1184277857.

Contact Information

Douglas Jackson, NP
1100 Reid Pkwy,
Richmond, IN 47374-1157
(765) 983-3000
(765) 935-8944

Map and Direction




Provider's Profile

Full NameDouglas Jackson
GenderMale
SpecialityNurse Practitioner
Experience7 Years
Location1100 Reid Pkwy, Richmond, Indiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Douglas Jackson graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1184277857
  • Provider Enumeration Date: 07/22/2019
  • Last Update Date: 10/30/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9032445853
  • Enrollment ID: I20210202001241

Medical Identifiers

Medical identifiers for Douglas Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184277857NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 71009145A (Indiana)Secondary
363LA2100XNurse Practitioner - Acute Care APRN.CNP.0027550 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Miami Valley HospitalDayton, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sinclair Physician Services, Llc9830536911174

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. Douglas Jackson allows following entities to bill medicare on his behalf.
Entity NamePulmonary & Critical Care Consultants, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861432379
PECOS PAC ID: 9234115379
Enrollment ID: O20040628001629
Entity NameKettering Independent Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629387865
PECOS PAC ID: 3173710936
Enrollment ID: O20101207000425
Entity NameUsacs Integrated Acute Care Services Of Ohio Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043805690
PECOS PAC ID: 9032527221
Enrollment ID: O20210428002191
Entity NameUsacs Critical Care Medicine Services Of Ohio, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104560580
PECOS PAC ID: 5991188286
Enrollment ID: O20220819000220
Entity NameSinclair Physician Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063289601
PECOS PAC ID: 9830536911
Enrollment ID: O20240325002978
Entity NameHisey Physician Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073380614
PECOS PAC ID: 8426495292
Enrollment ID: O20240328002362

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. Douglas 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
Douglas Jackson, NP
1100 Reid Parkway, Medical Staff Service,
Richmond, IN 47374

Ph: (765) 935-5331		Douglas Jackson, NP
1100 Reid Pkwy,
Richmond, IN 47374-1157

Ph: (765) 983-3000

Reviews and Comments


Nurse Practitioner Nurses in Richmond, IN

Poshia Slusher,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 100 S 5th St, Richmond, IN 47374
Phone: 765-739-9245    Fax: 765-973-9206
Catherine Blyth, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1250 Chester Blvd., Suite 1, Richmond, IN 47374
Phone: 765-935-8594    Fax: 765-935-8595
Mrs. Debra Kay Shaw, ANP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1301 S 8th St, Richmond, IN 47374
Phone: 765-939-3947    Fax: 765-939-3950
Mrs. Britney Marie Glover, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1485 Chester Blvd., Reid Pediatric & Internal Medicine, Richmond, IN 47374
Phone: 765-966-5527    Fax: 765-966-5528
Tabatha Nicole Timberman,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1050 Reid Pkwy Ste 130, Richmond, IN 47374
Phone: 765-935-8943    Fax: 765-935-8944
Miss Kayla Jo Thomas, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2302 Chester Blvd Ste A, Richmond, IN 47374
Phone: 765-488-0345    Fax: 765-488-2467
Sasha Lanae Yanez-alonso,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3701 Hodgkin Road, Richmond, IN 47374
Phone: 765-939-3701    

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.