Heather Lee Jackson, CNM, MSN - Medicare Advanced Practice Midwife in Portage, IN

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Heather Lee Jackson, CNM, MSN is a medicare enrolled "Advanced Practice Midwife" in Portage, Indiana. Her current practice location is 6050 Sterling Creek Rd, Portage, Indiana. You can reach out to her office (for appointments etc.) via phone at (219) 763-8112.

Heather Lee Jackson is licensed to practice in Indiana (license number 71010201A) 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 1669090049.

Contact Information

Heather Lee Jackson, CNM, MSN
6050 Sterling Creek Rd,
Portage, IN 46368-7752
(219) 763-8112
(219) 764-5333

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Provider's Profile

Full NameHeather Lee Jackson
GenderFemale
SpecialityAdvanced Practice Midwife
Location6050 Sterling Creek Rd, Portage, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1669090049
  • Provider Enumeration Date: 07/11/2020
  • Last Update Date: 03/17/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 3173933934
  • Enrollment ID: I20201105001481

Medical Identifiers

Medical identifiers for Heather Lee Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669090049NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367A00000XAdvanced Practice Midwife 71010201A (Indiana)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. Heather Lee Jackson allows following entities to bill medicare on her behalf.
Entity NameNorthshore Health Centers Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114257300
PECOS PAC ID: 5799671236
Enrollment ID: O20040827000220
Entity NameHealthlinc Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528262581
PECOS PAC ID: 7618929373
Enrollment ID: O20050210000929

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. Heather Lee 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
Heather Lee Jackson, CNM, MSN
6050 Sterling Creek Rd,
Portage, IN 46368-7752

Ph: (219) 763-8112		Heather Lee Jackson, CNM, MSN
6050 Sterling Creek Rd,
Portage, IN 46368-7752

Ph: (219) 763-8112

Reviews and Comments


Advanced Practice Midwife Nurses in Portage, IN

Brittany Deann Burgy, APRN, CNM
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 6050 Sterling Creek Rd, Portage, IN 46368
Phone: 219-763-8112    
Dr. Gabrielle Marie Brummel, DNP,CNM
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 6050 Sterling Creek Rd, Portage, IN 46368
Phone: 219-763-8112    

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.