Elizabeth Jackson, PMHNP
NPI 1073180535 · Nurse Practitioner · Grand Rapids, MI
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Elizabeth Jackson, PMHNP is a Nurse Practitioner provider in Grand Rapids, MI (NPI 1073180535).
Provider details
- NPI number
- 1073180535
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PMHNP
- Sex
- Female
- Sole proprietor
- No
- License
- 4704280272 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-06-04
- Last updated
- 2024-01-02
- Certified
- 2024-01-02
Frequently asked questions
- What is Elizabeth Jackson's NPI number?
- Elizabeth Jackson's National Provider Identifier (NPI) is 1073180535, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Elizabeth Jackson's specialty?
- Elizabeth Jackson is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Elizabeth Jackson located?
- Elizabeth Jackson's practice location on file with NPPES is 300 68th St Se, Grand Rapids, MI 49548-6927.
- What is Elizabeth Jackson's phone number?
- The practice phone number listed in the NPPES registry for Elizabeth Jackson is (616) 455-5000.
- Does Elizabeth Jackson accept Medicare?
- Elizabeth Jackson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Elizabeth Jackson's NPI active?
- Yes — Elizabeth Jackson's NPI (1073180535) is active in the NPPES registry as of the last update on 2024-01-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.