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Active NPI 1447808936 Individual Practitioner Female Practitioner

Jackie Pierson , CNP

Nurse Practitioner • Latham, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jackie Pierson, CNP is a certified Nurse Practitioner practicing in Latham, OH. With approximately 7 years of clinical experience since completing medical education in 2019, Jackie Pierson delivers high-quality medical care to the local community at 7959 STATE ROUTE 124.

Jackie Pierson is affiliated with Somc Medical Care Foundation, Inc. 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

7959 State Route 124

Latham, OH 456469701

Telephone 7404931800
Fax 7404931500
Associated Practice Facility / Clinic
🏢 Western Local School District Facility NPI 1205074895

Medicare Profile & Education

Medical School

Other

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Latham, OH

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
7 Yrs Matches City Avg
City Avg: 7.0 Yrs
State Avg: 9.8 Yrs
Regional Practice Density
1 Specialists

Practicing in Latham, OH (4294 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
51.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pierson (7 Years) 7 Yrs
Latham Specialty Average (7.0 Years) 7.0 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
37 11 $159.05 $77.97

Medical Specialties & State Licenses

CMS Verified: 2020-12-17
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License OH APRN.CNP.025524

(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
0368049 (OH)

Hospital & Practice Group Affiliations

Somc Medical Care Foundation, Inc.

7959 State Route 124, Latham, OH 456469701

Phone: 7402261552

Somc Medical Care Foundation, Inc.

1248 Kinneys Ln, Portsmouth, OH 456622927

Phone: 7403567290

Somc Medical Care Foundation, Inc.

1248 Kinneys Ln, Portsmouth, OH 456622927

Phone: 7403567290

Practice Associates & Co-Workers

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

3 Associated Practitioners
Abigail Scott , MA, CCC-SLP

Speech-Language Pathologist

NPI 1093127649

Master of Arts, Speech-Language Pathologist (Certificate of Clinical Competence)

Alexandria Dutcher

Social Worker

NPI 1598153306
Audra Francis

Psychologist - School

NPI 1912443391

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Business Mailing Address December 17, 2020

Registered at 1735 27TH ST STE B06, PORTSMOUTH, OH 456622681 (Tel: 7403568034)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 20, 2020

Nurse Practitioner (License #APRN.CNP.025524 in OH)

NPI Profile Active August 29, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location August 29, 2019

Registered at 7959 STATE ROUTE 124, LATHAM, OH 456469701 (Tel: 7404931800)

📍
Updated Business Mailing Address August 29, 2019

Registered at 1735 27TH STREET, WALLER BLDG SUITE B06, PORTSMOUTH, OH 45662 (Tel: 7403568034)

👤
Provider Name / Credentials Updated August 29, 2019

Recorded as JACKIE PIERSON, CNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 29, 2019

Nurse Practitioner (License #APRN.CNP.025524 in OH)

🟢
Initial NPI Registration & Enumeration August 28, 2019

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: 1447808936
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 28, 2019
Last Update: December 17, 2020
Sole Proprietor: No

Mailing Address

1735 27th St Ste B06

Portsmouth, OH 456622681

Phone: 7403568034

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.