Andrea Jackson, PHD
NPI 1194255877 · Psychologist · Creswell, OR
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Andrea Jackson, PHD is a Psychologist provider in Creswell, OR (NPI 1194255877).
Provider details
- NPI number
- 1194255877
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Female
- Sole proprietor
- No
- License
- 3120 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
9 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
1,055 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Administration of Psychological Or Neuropsychological Test By Technician, Each Additional 30 Minutes96139 | 584 | $34 |
| Evaluation of Neuropsychological Test, Each Additional Hour96133 | 198 | $94 |
| Evaluation of Neuropsychological Test, First Hour96132 | 98 | $124 |
| Psychiatric Diagnostic Evaluation90791 | 88 | $167 |
| Administration of Psychological Or Neuropsychological Test By Technician, First 30 Minutes96138 | 74 | $33 |
| Administration of Psychological Or Neuropsychological Test, First 30 Minutes96136 | 13 | $40 |
Practice location
Mailing address
Additional practice locations (1)
- 534 Pleasant View Way Nw Ste 200Albany, OR 97321-1789Phone: (541) 812-5760
Registry dates
- Enumerated
- 2017-06-15
- Last updated
- 2024-10-30
- Certified
- 2024-10-30
Frequently asked questions
- What is Andrea Jackson's NPI number?
- Andrea Jackson's National Provider Identifier (NPI) is 1194255877, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Andrea Jackson's specialty?
- Andrea Jackson is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Andrea Jackson located?
- Andrea Jackson's practice location on file with NPPES is 170 Melton Rd, Creswell, OR 97426-9453.
- What is Andrea Jackson's phone number?
- The practice phone number listed in the NPPES registry for Andrea Jackson is (541) 306-6456.
- Does Andrea Jackson accept Medicare?
- Andrea Jackson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Andrea Jackson's NPI active?
- Yes — Andrea Jackson's NPI (1194255877) is active in the NPPES registry as of the last update on 2024-10-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.