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Active NPI 1790432458 Individual Practitioner Female Practitioner

Summer Jackson , NP

Nurse Practitioner • Bellwood, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Summer Jackson, NP is a certified Nurse Practitioner practicing in Bellwood, IL. With approximately 25 years of clinical experience since completing medical education in 2001, Summer Jackson delivers high-quality medical care to the local community at 531 LINDEN AVE.

Summer Jackson accepts Medicare assignment.

Frequently performed procedures and clinical services include therapy procedure to re-educate brain-to-nerve-to-muscle function, each, therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each, walking training to. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

531 Linden Ave

Bellwood, IL 601041854

Telephone 7734169936
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Bellwood, IL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
25 Yrs Matches City Avg
City Avg: 25.0 Yrs
State Avg: 10.4 Yrs
Regional Practice Density
1 Specialists

Practicing in Bellwood, IL (4929 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
56.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jackson (25 Years) 25 Yrs
Bellwood Specialty Average (25.0 Years) 25.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes
320 39 $58.00 $25.57
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
295 41 $53.00 $19.26
97116 Walking training to 1 or more areas, each 15 minutes
78 31 $60.00 $19.18
97012 Application of mechanical traction to 1 or more areas
65 31 $32.00 $9.78
99213 Established patient office or other outpatient visit, typically 15 minutes
48 30 $150.00 $79.59

Medical Specialties & State Licenses

CMS Verified: 2025-03-15
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209025419

(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.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License IL 2000357580

(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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2000357580 (IL)

Career & Practice History Timeline

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

8 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 15, 2025

Nurse Practitioner (License #2000357580 in IL)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 30, 2022

Nurse Practitioner (License #209025419 in IL)

NPI Profile Active March 03, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location March 03, 2022

Registered at 531 LINDEN AVE, BELLWOOD, IL 601041854 (Tel: 7734169936)

📍
Updated Business Mailing Address March 03, 2022

Registered at 531 LINDEN AVE, BELLWOOD, IL 601041854 (Tel: 7734169936)

👤
Provider Name / Credentials Updated March 03, 2022

Recorded as SUMMER JACKSON, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 03, 2022

Nurse Practitioner (License #2000357580 in IL)

🟢
Initial NPI Registration & Enumeration March 03, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790432458
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 03, 2022
Last Update: March 15, 2025
Sole Proprietor: No

Mailing Address

531 Linden Ave

Bellwood, IL 601041854

Phone: 7734169936

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.