Active NPI 1093105918 Individual Practitioner Female Practitioner

Amelia Dee Jackson , NP-C

Nurse Practitioner • Gravette, AR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Amelia Jackson, NP-C is a certified Nurse Practitioner practicing in Gravette, AR. With approximately 18 years of clinical experience since completing medical education in 2008, Amelia Jackson delivers high-quality medical care to the local community at 1101 JACKSON ST SW.

Amelia Jackson maintains professional affiliations with Sgoh Acquisition Inc, Premier Family Health Care Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include testing for presence of drug, by chemistry analyzers, drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1101 Jackson St Sw

Gravette, AR 727369121

Telephone 4797875221

Fax 4797879692

Associated Practice Facility / Clinic

🏢 Gravette Medical Center Hospital Facility NPI 1295893220

Medicare Profile & Education

Medical School

Other

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Gravette, AR

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

18 Yrs -2.5 yrs vs City Avg

City Avg: 20.5 Yrs

State Avg: 11.2 Yrs

Regional Practice Density

3 Specialists

Practicing in Gravette, AR (702 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

56.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jackson (18 Years) 18 Yrs

Gravette Specialty Average (20.5 Years) 20.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
80307 Testing for presence of drug, by chemistry analyzers	97	84	$236.53	$63.11
G0482 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms	85	76	$357.76	$191.92
99213 Established patient office or other outpatient visit, typically 15 minutes	70	64	$132.87	$57.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	54	49	$190.07	$85.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	121	112	$169.67	$83.26
80307 Testing for presence of drug, by chemistry analyzers	118	75	$150.00	$78.21
G0482 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms	91	64	$202.97	$193.91
36415 Insertion of needle into vein for collection of blood sample	34	29	$12.00	$2.94
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	28	26	$34.00	$10.45
80053 Blood test, comprehensive group of blood chemicals	24	23	$81.00	$13.00
80061 Blood test, lipids (cholesterol and triglycerides)	21	21	$80.00	$12.96
82043 Urine microalbumin (protein) level	20	20	$31.00	$7.77
82570 Creatinine level to test for kidney function or muscle injury	20	20	$25.00	$6.96
99213 Established patient office or other outpatient visit, typically 15 minutes	15	15	$118.00	$57.72
81003 Automated urinalysis test	12	12	$13.00	$3.02
G0483 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms	12	12	$270.00	$248.79

Medical Specialties & State Licenses

CMS Verified: 2023-10-13

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License AR A004287

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Sgoh Acquisition Inc

912b State Hwy 59, Goodman, MO 648438252

Phone: 4173648300

Sgoh Acquisition Inc

346 N Main St, Decatur, AR 727229732

Phone: 4797523233

Sgoh Acquisition Inc

346 N Main St, Decatur, AR 727229732

Phone: 4797523233

Premier Family Health Care Llc

310 N Progress Ave, Siloam Springs, AR 727614093

Phone: 4782255429

Sgoh Acquisition Inc

104 E Main St, Anderson, MO 648314103

Phone: 4178456984

Secondary Practice Locations

1502 Se 28th St

Bentonville, AR 727123988

Phone: 5017736993

1502 Se 28th St

Bentonville, AR 727123988

Phone: 5017736993

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners

Dr. David Tucker , MD

Family Medicine

NPI 1023076619

Doctor of Medicine (M.D.)

Tamra Lamer , APRN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1235494329

Advanced Practice Registered Nurse

Tammie Smith , ACNS-BC

Clinical Nurse Specialist

NPI 1255546974

ACNSBC

Dr. Nancy Jones , MD

Family Medicine

NPI 1346208527

Doctor of Medicine (M.D.)

Melody Walls , ACNP

Nurse Practitioner - Acute Care

NPI 1366537466

Tracy Lowry , FNP-C

Nurse Practitioner

NPI 1407122179

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events

✅

NPI Profile Active January 30, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location January 30, 2018

Registered at 1101 JACKSON ST SW, GRAVETTE, AR 727369121 (Tel: 4797875221)

📍

Updated Business Mailing Address January 30, 2018

Registered at 1101 JACKSON ST SW, GRAVETTE, AR 727369121 (Tel: 4797875221)

👤

Provider Name / Credentials Updated January 30, 2018

Recorded as AMELIA JACKSON, NP-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 30, 2018

Nurse Practitioner (License #A004287 in AR)

📍

Updated Practice Location March 01, 2017

Registered at 1502 SE 28TH ST, BENTONVILLE, AR 727123988 (Tel: 5017736993)

📍

Updated Business Mailing Address March 01, 2017

Registered at 1502 SE 28TH ST, BENTONVILLE, AR 727123988 (Tel: 5017736993)

✅

NPI Profile Active January 30, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location January 30, 2015

Registered at 600 MEMORIAL DR, BELLA VISTA, AR 727141847 (Tel: 4798556165)

📍

Updated Business Mailing Address January 30, 2015

Registered at 600 MEMORIAL DR, BELLA VISTA, AR 727141847 (Tel: 4798556165)

👤

Provider Name / Credentials Updated January 30, 2015

Recorded as AMELIA JACKSON, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 30, 2015

Nurse Practitioner (License #A004287 in AR)

🟢

Initial NPI Registration & Enumeration January 30, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1093105918

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 30, 2015

Last Update: October 13, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1101 Jackson St Sw

Gravette, AR 727369121

Phone: 4797875221

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.