Mrs Ketura L Jackson, RN - Medicare Nurse Practitioner in Cleveland, OH

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Mrs Ketura L Jackson, RN is a medicare enrolled "Nurse Practitioner - Family" in Cleveland, Ohio. Her current practice location is 2020 Taylor Rd, Cleveland, Ohio. You can reach out to her office (for appointments etc.) via phone at (216) 200-6552.

Mrs Ketura L Jackson is licensed to practice in Ohio (license number 2016003408) 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 1821229378.

Contact Information

Mrs Ketura L Jackson, RN
2020 Taylor Rd,
Cleveland, OH 44112-2963
(216) 200-6552
(866) 611-2650

Map and Direction




Provider's Profile

Full NameMrs Ketura L Jackson
GenderFemale
SpecialityNurse Practitioner - Family
Location2020 Taylor Rd, Cleveland, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1821229378
  • Provider Enumeration Date: 07/31/2009
  • Last Update Date: 09/19/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 0648555698
  • Enrollment ID: I20170314001604

Medical Identifiers

Medical identifiers for Mrs Ketura L Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821229378NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 2016003408 (Ohio)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. Mrs Ketura L Jackson allows following entities to bill medicare on her behalf.
Entity NameCommunity Hospitalist Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538236872
PECOS PAC ID: 5496648123
Enrollment ID: O20040205000697
Entity NameUniversity Hospitals Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669499414
PECOS PAC ID: 4789682493
Enrollment ID: O20061113000301
Entity NameTraveling Nurse Practitioner, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588995849
PECOS PAC ID: 7012040421
Enrollment ID: O20100805000910
Entity NameOhioguidestone
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609123728
PECOS PAC ID: 5597910935
Enrollment ID: O20130308000507
Entity NameCommunity Care Health Network Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619368842
PECOS PAC ID: 8527324151
Enrollment ID: O20181221001967
Entity NameAdmiral Medical Management Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407357742
PECOS PAC ID: 9638415987
Enrollment ID: O20190108002744
Entity NameHni Medical Services Of Ohio, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356815922
PECOS PAC ID: 1759620735
Enrollment ID: O20190308002704
Entity NameMid-south Home Care Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881391597
PECOS PAC ID: 4385961093
Enrollment ID: O20230323001347
Entity NameResihealth Of Ohio Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114639861
PECOS PAC ID: 1658737762
Enrollment ID: O20230516001419

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. Mrs Ketura L 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
Mrs Ketura L Jackson, RN
Po Box 32028,
Cleveland, OH 44132-0028

Ph: (216) 200-6552		Mrs Ketura L Jackson, RN
2020 Taylor Rd,
Cleveland, OH 44112-2963

Ph: (216) 200-6552

Reviews and Comments


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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.