Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1194255877 Individual Practitioner Female Practitioner

Dr. Andrea Marie Jackson , PhD

Psychologist • Creswell, OR

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Andrea Jackson, PhD is a certified Psychologist practicing in Creswell, OR. With approximately 9 years of clinical experience since completing medical education in 2017, Dr. Jackson delivers high-quality medical care to the local community at 170 MELTON RD.

Dr. Jackson is affiliated with Optum Behavioral Care Of Colorado Pc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include administration of psychological or neuropsychological test by technician, evaluation of neuropsychological test, evaluation of neuropsychological test, first hour. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

170 Melton Rd

Creswell, OR 974269453

Telephone 5413066456
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Creswell, OR

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs Matches City Avg
City Avg: 9.0 Yrs
State Avg: 18.9 Yrs
Regional Practice Density
1 Specialists

Practicing in Creswell, OR (780 Statewide)

Telehealth Adoption Rate
100.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
60.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jackson (9 Years) 9 Yrs
Creswell Specialty Average (9.0 Years) 9.0 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
96139 Administration of psychological or neuropsychological test by technician, each additional 30 minutes
584 74 $130.00 $34.03
96133 Evaluation of neuropsychological test, each additional hour
198 93 $260.00 $94.33
96132 Evaluation of neuropsychological test, first hour
98 95 $260.00 $124.22
90791 Psychiatric diagnostic evaluation
88 88 $350.00 $167.15
96138 Administration of psychological or neuropsychological test by technician, first 30 minutes
74 74 $130.00 $33.05
96136 Administration of psychological or neuropsychological test, first 30 minutes
13 13 $130.00 $40.34

Medical Specialties & State Licenses

CMS Verified: 2024-10-30
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License OR 3120

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Hospital & Practice Group Affiliations

Optum Behavioral Care Of Colorado Pc

940 Willamette St, Eugene, OR 974013129

Phone: 5413579761

Secondary Practice Locations

534 Pleasant View Way Nw Ste 200

Albany, OR 973211789

Phone: 5418125760

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Tracy Kreiling , PsyD

Psychologist - Clinical

NPI 1659682177

Doctor of Psychology (Psy.D.)

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Practice Location October 30, 2024

Registered at 170 MELTON RD, CRESWELL, OR 974269453 (Tel: 5413066456)

📍
Updated Business Mailing Address October 30, 2024

Registered at 170 MELTON RD, CRESWELL, OR 974269453 (Tel: 5413066456)

📍
Updated Business Mailing Address November 03, 2020

Registered at PO BOX 1188, CORVALLIS, OR 973391188

📍
Updated Practice Location July 18, 2019

Registered at 534 PLEASANT VIEW WAY NW STE 200, ALBANY, OR 973211789 (Tel: 5418125760)

📍
Updated Business Mailing Address July 18, 2019

Registered at 534 PLEASANT VIEW WAY NW STE 200, ALBANY, OR 973211789 (Tel: 5418125760)

👤
Provider Name / Credentials Updated July 18, 2019

Recorded as ANDREA JACKSON, PHD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 18, 2019

Psychologist (License #3120 in OR)

NPI Profile Active June 15, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 15, 2017

Registered at 1 MEDICAL CENTER DR, LEBANON, NH 037561000 (Tel: 6036505824)

📍
Updated Business Mailing Address June 15, 2017

Registered at PO BOX 744, HARTFORD, VT 050470744

👤
Provider Name / Credentials Updated June 15, 2017

Recorded as ANDREA JACKSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2017

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 15, 2017

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: 1194255877
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 15, 2017
Last Update: October 30, 2024
Sole Proprietor: No

Mailing Address

170 Melton Rd

Creswell, OR 974269453

Phone: 5413066456

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.