Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1699277590 Individual Practitioner Female Practitioner

Alexandria Nichelle Jackson , AGNP

Nurse Practitioner • Gary, IN

Professional Overview & Biography Verified Profile Summary

Alexandria Jackson, AGNP is a registered healthcare professional specializing in Nurse Practitioner in Gary, IN. Practice services are available at 215 BROADWAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

215 Broadway

Gary, IN 464021221

Telephone 2198885975

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Gary, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.3 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
10 Specialists

Practicing in Gary, IN (2620 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-10-02
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License GA RN249768

(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 - Adult Health

NUCC Taxonomy Code: 363LA2200X

State License GA RN249768

Definition to come...

Nurse Practitioner - Gerontology

NUCC Taxonomy Code: 363LG0600X

State License GA RN249768

Definition to come...

Nurse Practitioner - Primary Care

NUCC Taxonomy Code: 363LP2300X

State License GA RN249768

Definition to come...

Practice Associates & Co-Workers

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

1 Associated Practitioners
Kay Sullivan , MS APN

Registered Nurse - Occupational Health

NPI 1558562553

MSAPN

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location October 02, 2024

Registered at 215 BROADWAY, GARY, IN 464021221 (Tel: 2198885975)

📍
Updated Business Mailing Address October 02, 2024

Registered at 1701 E 69TH AVE, MERRILLVILLE, IN 464103903 (Tel: 2292914436)

NPI Profile Active March 06, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location March 06, 2018

Registered at 497 GREYHAWK WAY, FAIRBURN, GA 302134612 (Tel: 2292914436)

📍
Updated Business Mailing Address March 06, 2018

Registered at 497 GREYHAWK WAY, FAIRBURN, GA 302134612 (Tel: 2292914436)

👤
Provider Name / Credentials Updated March 06, 2018

Recorded as ALEXANDRIA JACKSON, AGNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 06, 2018

Nurse Practitioner (License #RN249768 in GA)

🟢
Initial NPI Registration & Enumeration March 06, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1699277590
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 06, 2018
Last Update: October 02, 2024
Sole Proprietor: No

Mailing Address

1701 E 69th Ave

Merrillville, IN 464103903

Phone: 2292914436

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.