Stacey Lorrainne Jackson
Contractor • Bellevue, NE
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Stacey Jackson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Stacey Jackson was a registered Contractor practicing in Bellevue, NE. Throughout an active medical career spanning 1 years, Stacey Jackson provided care at the practice location at 44 MARTINVIEW RD APT 2 until profile deactivation on 2025-12-11.
Practice Location & Contact Primary Location
44 Martinview Rd Apt 2
Bellevue, NE 680053512
Specialty Benchmarks & Practice Insights
Comparative analytics for Contractor in Bellevue, NE
Practicing in Bellevue, NE (272 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 171W00000X
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on December 11, 2025
NPI status registered as active in NPPES database
Registered at 44 MARTINVIEW RD APT 2, BELLEVUE, NE 680053512 (Tel: 4026776482)
Registered at 44 MARTINVIEW RD, BELLEVUE, NE 680053512 (Tel: 4026778462)
Recorded as STACEY JACKSON
Contractor
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
44 Martinview Rd
Bellevue, NE 680053512
Phone: 4026778462
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