Mandi Jackson, APRN - Medicare Nurse Practitioner in Daphne, AL

Mandi Jackson, APRN is a medicare enrolled "Nurse Practitioner - Family" in Daphne, Alabama. She graduated from nursing school in 2022 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ent Centers Of Excellence and her current practice location is 29653 Anchor Cross Blvd, Daphne, Alabama. You can reach out to her office (for appointments etc.) via phone at (251) 418-0592.

Mandi Jackson is licensed to practice in Alabama (license number 1-136796) 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 1780381376.

Contact Information

Mandi Jackson, APRN
29653 Anchor Cross Blvd,
Daphne, AL 36526-9594
(251) 418-0592
Not Available

Map and Direction




Provider's Profile

Full NameMandi Jackson
GenderFemale
SpecialityNurse Practitioner
Experience4 Years
Location29653 Anchor Cross Blvd, Daphne, Alabama
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:
  • Mandi Jackson graduated from nursing school in 2022
  NPI Data:
  • NPI Number: 1780381376
  • Provider Enumeration Date: 02/14/2023
  • Last Update Date: 08/24/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 9335504166
  • Enrollment ID: I20230501002801

Medical Identifiers

Medical identifiers for Mandi Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780381376NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 101.0139729TELE (Vermont)Secondary
363LF0000XNurse Practitioner - Family 5025256 (North Carolina)Secondary
363LF0000XNurse Practitioner - Family 11024768 (Florida)Secondary
363LF0000XNurse Practitioner - Family 1-136796 (Alabama)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ent Centers Of Excellence28607028914

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. Mandi Jackson allows following entities to bill medicare on her behalf.
Entity NameEnt Centers of Excellence
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689043515
PECOS PAC ID: 2860702891
Enrollment ID: O20151103003103
Entity NameSignify Health LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689158487
PECOS PAC ID: 3274895263
Enrollment ID: O20210224000756

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. Mandi 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
Mandi Jackson, APRN
1851 N Mckenzie St Ste 106,
Foley, AL 36535-4704

Ph: (251) 943-1117
Mandi Jackson, APRN
29653 Anchor Cross Blvd,
Daphne, AL 36526-9594

Ph: (251) 418-0592

Reviews and Comments


Nurse Practitioner Nurses in Daphne, AL

Brittany Charlene Wickware, CRNP
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Phone: 251-308-9800    Fax: 877-413-5104
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Phone: 251-625-2663    Fax: 251-625-3198
Amanda Wiggins Grigg, CRNP
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Prof. Julie Borom Wiggins, DNP, PNP, PMHS
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Practice Location: 28150 N Main St, Daphne, AL 36526
Phone: 251-402-5591    
Mr. Daniel Phillip Gardner, FNP
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Medicare: Accepting Medicare Assignments
Practice Location: 8725 County Road 64, Daphne, AL 36526
Phone: 251-625-1370    Fax: 251-625-1380

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.