Jackson Psychiatric Services PLLC
NPI 1174353486 · Psychiatric/Mental Health Nurse Practitioner · Springfield, MA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jackson Psychiatric Services PLLC is a Psychiatric/Mental Health Nurse Practitioner organization in Springfield, MA (NPI 1174353486).
Provider details
- NPI number
- 1174353486
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Elsie Dieguez-Jackson, Owner/Certified NP(315) 289-6828
Specialties & taxonomies
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
1 yr 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
- 2024-08-02
- Last updated
- 2025-12-24
- Certified
- 2025-12-24
Frequently asked questions
- What is Jackson Psychiatric Services PLLC's NPI number?
- Jackson Psychiatric Services PLLC's National Provider Identifier (NPI) is 1174353486, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jackson Psychiatric Services PLLC?
- Jackson Psychiatric Services PLLC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jackson Psychiatric Services PLLC located?
- Jackson Psychiatric Services PLLC's practice location on file with NPPES is 1500 Main Street, Springfield, MA 01115-5024.
- What is Jackson Psychiatric Services PLLC's phone number?
- The practice phone number listed in the NPPES registry for Jackson Psychiatric Services PLLC is (413) 265-8714.
- Does Jackson Psychiatric Services PLLC accept Medicare?
- Jackson Psychiatric Services PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Jackson Psychiatric Services PLLC?
- The authorized official listed on Jackson Psychiatric Services PLLC's NPPES record is Elsie Dieguez-Jackson, Owner/Certified NP. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jackson Psychiatric Services PLLC's NPI active?
- Yes — Jackson Psychiatric Services PLLC's NPI (1174353486) is active in the NPPES registry as of the last update on 2025-12-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.