Joan Marie Jackson, FNP in Fort Mill, SC - Medicare Nurse Practitioner

Joan Marie Jackson, FNP is a medicare enrolled "Nurse Practitioner - Family" in Fort Mill, South Carolina. Her current practice location is 1201 Carolna Place Dr Ste 101, Fort Mill, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 547-4922.

Joan Marie Jackson is licensed to practice in South Carolina (license number 21635) 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 1225525454.

Contact Information

	Joan Marie Jackson, FNP
	1201 Carolna Place Dr Ste 101, Fort Mill, SC 29708-0015
	(803) 547-4922
	Not Available

Map and Direction

Provider's Profile

Full Name	Joan Marie Jackson
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1201 Carolna Place Dr Ste 101, Fort Mill, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225525454
Provider Enumeration Date: 04/13/2018
Last Update Date: 04/02/2026

Medicare PECOS Information:

PECOS PAC ID: 1254696024
Enrollment ID: I20180525001549

Medical Identifiers

Medical identifiers for Joan Marie Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225525454	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	21635 (South Carolina)	Primary
363LF0000X	Nurse Practitioner - Family	5010445 (North Carolina)	Secondary

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. Joan Marie Jackson allows following entities to bill medicare on her behalf.

Entity Name	Onsite Care Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912338328 PECOS PAC ID: 7012149222 Enrollment ID: O20140422000656

Entity Name	Eventus Wholehealth Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548759392 PECOS PAC ID: 6002169539 Enrollment ID: O20181030001281

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. Joan Marie 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 Address	Practice Location Address
Joan Marie Jackson, FNP 101 Cabarrus Ave E, Concord, NC 28025-3699 Ph: (888) 849-7379	Joan Marie Jackson, FNP 1201 Carolna Place Dr Ste 101, Fort Mill, SC 29708-0015 Ph: (803) 547-4922

Reviews and Comments

Nurse Practitioner Nurses in Fort Mill, SC

Kayla Kipp Mosser, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 704 Gold Hill Rd, Ste 207, Fort Mill, SC 29715 Phone: 803-802-5900
Karen Mcgarvey, F.N.P Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1740 Sc 160 West, Fort Mill, SC 29708 Phone: 866-389-2727
Jaden Light Bugg, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1935 Holbrook Rd, Ste 2200, Fort Mill, SC 29715 Phone: 803-650-4281
Dr. Dustin Spencer, DNP, FNP-C, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2764 Pleasant Rd Ste A-10701, Fort Mill, SC 29708 Phone: 803-906-0952 Fax: 681-662-2733
Chloe Georgina Pinner, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 704 Gold Hill Rd Ste 207, Fort Mill, SC 29715 Phone: 803-802-5900
Meghan Bynum Fields, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 704 Gold Hill Rd, Ste 1200, Fort Mill, SC 29715 Phone: 704-667-3380
Dr. Amy Lingenfelter, DNP, APRN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1201 Carolina Pl Ste 101, Fort Mill, SC 29708 Phone: 803-547-4922

Joan Marie Jackson, FNP - Medicare Nurse Practitioner in Fort Mill, SC