Glenda Jackson, R.N.
NPI 1205291572 · Psychiatric/Mental Health Nurse Practitioner · Kenosha, WI
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Glenda Jackson, R.N. is a Psychiatric/Mental Health Nurse Practitioner provider in Kenosha, WI (NPI 1205291572).
Provider details
- NPI number
- 1205291572
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- R.N.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 16452 (WI)
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
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 4126 N 16th StMilwaukee, WI 53209-6915Phone: (414) 544-2882
Registry dates
- Enumerated
- 2015-12-30
- Last updated
- 2025-06-25
- Certified
- 2025-06-25
Frequently asked questions
- What is Glenda Jackson's NPI number?
- Glenda Jackson's National Provider Identifier (NPI) is 1205291572, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Glenda Jackson's specialty?
- Glenda Jackson is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Glenda Jackson located?
- Glenda Jackson's practice location on file with NPPES is 12225 71st St, Kenosha, WI 53142-7320.
- What is Glenda Jackson's phone number?
- The practice phone number listed in the NPPES registry for Glenda Jackson is (877) 666-7223.
- Does Glenda Jackson accept Medicare?
- Glenda Jackson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Glenda Jackson's NPI active?
- Yes — Glenda Jackson's NPI (1205291572) is active in the NPPES registry as of the last update on 2025-06-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.