Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1205460045 Individual Practitioner Female Practitioner

Amanda Jackson , CPNP

Nurse Practitioner - Pediatrics • Nixa, MO

Professional Overview & Biography Verified Profile Summary

Amanda Jackson, CPNP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Nixa, MO. Practice services are available at 940 W MOUNT VERNON ST STE 220 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

940 W Mount Vernon St Ste 220

Nixa, MO 657149613

Telephone 4177245437
Associated Practice Facility / Clinic
🏢 St. John's Clinic, Inc. Facility NPI 1003187402

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Nixa, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.6 Yrs
Regional Practice Density
1 Specialists

Practicing in Nixa, MO (900 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: 2020-03-11
Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License MO 2020008008

Definition to come...

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License MO 2011022742

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Practice Associates & Co-Workers

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

3 Associated Practitioners
NPI 1821163528

Doctor of Medicine (M.D.)

NPI 1861438475

Doctor of Osteopathic Medicine (D.O.)

NPI 1932396777

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 March 02, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location March 02, 2020

Registered at 940 W MOUNT VERNON ST STE 220, NIXA, MO 657149613 (Tel: 4177245437)

📍
Updated Business Mailing Address March 02, 2020

Registered at 940 W MOUNT VERNON ST STE 220, NIXA, MO 657149613 (Tel: 4177245437)

👤
Provider Name / Credentials Updated March 02, 2020

Recorded as AMANDA JACKSON, CPNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 02, 2020

Registered Nurse (License #2011022742 in MO)

🟢
Initial NPI Registration & Enumeration March 02, 2020

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: 1205460045
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 02, 2020
Last Update: March 11, 2020
Sole Proprietor: No

Mailing Address

940 W Mount Vernon St Ste 220

Nixa, MO 657149613

Phone: 4177245437

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.