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Active NPI 1821055880 Individual Practitioner Female Practitioner

Judith Jackson , NURSE PRACTITIONER

Nurse Practitioner • Minneapolis, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Judith Jackson, NURSE PRACTITIONER is a certified Nurse Practitioner practicing in Minneapolis, MN. With approximately 26 years of clinical experience since completing medical education in 2000, Judith Jackson delivers high-quality medical care to the local community at 2450 RIVERSIDE AVE.

Judith Jackson is affiliated with Fairview Clinics and accepts Medicare assignment.

Frequently performed procedures and clinical services include 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

2450 Riverside Ave

Minneapolis, MN 554541395

Telephone 6126722288
Associated Practice Facility / Clinic
🏢 Fairview Health Services Facility NPI 1013994359

Medicare Profile & Education

Medical School

Other

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Minneapolis, MN

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
26 Yrs +13.3 yrs vs City Avg
City Avg: 12.7 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
300 Specialists

Practicing in Minneapolis, MN (2609 Statewide)

Telehealth Adoption Rate
11.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
76.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jackson (26 Years) 26 Yrs
Minneapolis Specialty Average (12.7 Years) 12.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
20 19 $329.25 $75.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
11 11 $457.36 $107.17

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MN R1144729

(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

Fairview Clinics

1440 Duckwood Dr, Eagan, MN 551221451

Phone: 6514068860

Practice Associates & Co-Workers

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

4 Associated Practitioners
Jacqueline Chan , PA-C

Physician Assistant

NPI 1164651279

Physician Assistant (Certified)

NPI 1407896269

Physician Assistant (Certified)

Kristina Haug , CNP

Nurse Practitioner - Adult Health

NPI 1598721995

Certified Nurse Practitioner

Dr. Kristina Varadi , MD

Internal Medicine

NPI 1669580890

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2450 RIVERSIDE AVE, MINNEAPOLIS, MN 554541395 (Tel: 6126722288)

📍
Updated Business Mailing Address July 08, 2007

Registered at 6341 26TH ST N, OAKDALE, MN 551283505 (Tel: 6517790954)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JUDITH JACKSON, NURSE PRACTITIONER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Nurse Practitioner (License #R1144729 in MN)

🟢
Initial NPI Registration & Enumeration April 26, 2006

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: 1821055880
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 26, 2006
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

6341 26th St N

Oakdale, MN 551283505

Phone: 6517790954

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.