Dr Ellanikole Jackson, DNP - Medicare Nurse Practitioner in Counce, TN

  1. Home
  2. Nurse Practitioner
  3. TN
  4. Counce
Dr Ellanikole Jackson, DNP is a medicare enrolled "Nurse Practitioner - Family" in Counce, Tennessee. She graduated from nursing school in 2018 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Family Clinic At The Lake Pllc and her current practice location is 11268 Highway 57, Counce, Tennessee. You can reach out to her office (for appointments etc.) via phone at (731) 438-3456.

Dr Ellanikole Jackson is licensed to practice in Tennessee (license number 24869) 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 1932676194.

Contact Information

Dr Ellanikole Jackson, DNP
11268 Highway 57,
Counce, TN 38326-3802
(731) 438-3456
Not Available

Map and Direction




Provider's Profile

Full NameDr Ellanikole Jackson
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location11268 Highway 57, Counce, Tennessee
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:
  • Dr Ellanikole Jackson graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1932676194
  • Provider Enumeration Date: 10/25/2018
  • Last Update Date: 07/24/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9335484914
  • Enrollment ID: I20181231001911

Medical Identifiers

Medical identifiers for Dr Ellanikole Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932676194NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 24869 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Hardin Medical CenterSavannah, TNHospital
Magnolia Regional Health CenterCorinth, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Family Clinic At The Lake Pllc70122460693

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. Dr Ellanikole Jackson allows following entities to bill medicare on her behalf.
Entity NameFamily Clinic At The Lake Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578125647
PECOS PAC ID: 7012246069
Enrollment ID: O20190917001247

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. Dr Ellanikole 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
Dr Ellanikole Jackson, DNP
Po Box 140,
Pickwick Dam, TN 38365-0140

Ph: (731) 689-4357		Dr Ellanikole Jackson, DNP
11268 Highway 57,
Counce, TN 38326-3802

Ph: (731) 438-3456

Reviews and Comments


Nurse Practitioner Nurses in Counce, TN

Amy B Mitchell, AGPCNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 9195 Highway 57, Counce, TN 38326
Phone: 731-925-1778    Fax: 731-438-3168
Krystal Lasha Long, MSN, APRN, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 11268 Highway 57, Counce, TN 38326
Phone: 731-689-4357    Fax: 731-689-1050
Abbey A Williams, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 145 Chance Cv, Counce, TN 38326
Phone: 870-489-0602    

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.