Simone Jackson, NP - Medicare Nurse Practitioner in Henderson, NV

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Simone Jackson, NP is a medicare enrolled "Nurse Practitioner - Family" in Henderson, Nevada. Her current practice location is 9029 S Pecos Rd Ste 2800, Henderson, Nevada. You can reach out to her office (for appointments etc.) via phone at (901) 283-1975.

Simone Jackson is licensed to practice in Nevada (license number APRN002716) 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 1134644396.

Contact Information

Simone Jackson, NP
9029 S Pecos Rd Ste 2800,
Henderson, NV 89074-7199
(901) 283-1975
(901) 283-1975

Map and Direction




Provider's Profile

Full NameSimone Jackson
GenderFemale
SpecialityNurse Practitioner - Family
Location9029 S Pecos Rd Ste 2800, Henderson, Nevada
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1134644396
  • Provider Enumeration Date: 08/09/2017
  • Last Update Date: 04/14/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8729345236
  • Enrollment ID: I20171207001912

Medical Identifiers

Medical identifiers for Simone Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134644396NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family AP134295 (Texas)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health APRN002716 (Nevada)Secondary
363LF0000XNurse Practitioner - Family APRN002716 (Nevada)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. Simone Jackson allows following entities to bill medicare on her behalf.
Entity NameState Of Nevada
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760572010
PECOS PAC ID: 9234022153
Enrollment ID: O20040212000160

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. Simone 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
Simone Jackson, NP
9005 W Oquendo Rd Apt 3036,
Las Vegas, NV 89148-1524

Ph: (901) 283-1975		Simone Jackson, NP
9029 S Pecos Rd Ste 2800,
Henderson, NV 89074-7199

Ph: (901) 283-1975

Reviews and Comments


Nurse Practitioner Nurses in Henderson, NV

Lydia Glaude, PHD, RN
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Martha Kim,
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Practice Location: 2637 W Horizon Ridge Pkwy Ste 130, Henderson, NV 89052
Phone: 702-918-7771    Fax: 702-745-2113
Natalie Mason, MSN, RN, PNP-C
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Practice Location: 2350 W Horizon Ridge Pkwy, Henderson, NV 89052
Phone: 702-564-8556    Fax: 702-564-4485

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.