Pauline Jackson, APRN
NPI 1417657636 · Psychiatric/Mental Health Nurse Practitioner · Las Vegas, NV
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pauline Jackson, APRN is a Psychiatric/Mental Health Nurse Practitioner provider in Las Vegas, NV (NPI 1417657636).
Provider details
- NPI number
- 1417657636
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- License
- 860180 (NV)
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 tenure28% of score
3 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
1,212 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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 864 | $64 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 153 | $142 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 107 | $94 |
| Advance Care Planning, First 30 Minutes99497 | 36 | $62 |
| Advance Care Planning, Each Additional 30 Minutes99498 | 29 | $58 |
| Subsequent Hospital Care With Straightforward Or Low Level of Medical Decision Making, Per Day, If Using Time, at Least 25 Minutes99231 | 23 |
Practice location
Mailing address
Additional practice locations (1)
- 6817 S Eastern Ave Ste 102Las Vegas, NV 89119-4684Phone: (702) 373-5299Fax: (702) 817-7260
Registry dates
- Enumerated
- 2023-03-07
- Last updated
- 2025-11-12
- Certified
- 2025-11-12
Frequently asked questions
- What is Pauline Jackson's NPI number?
- Pauline Jackson's National Provider Identifier (NPI) is 1417657636, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Pauline Jackson's specialty?
- Pauline 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 Pauline Jackson located?
- Pauline Jackson's practice location on file with NPPES is 3909 S Maryland Pkwy Ste 314, Las Vegas, NV 89119-7520.
- What is Pauline Jackson's phone number?
- The practice phone number listed in the NPPES registry for Pauline Jackson is (702) 337-3076.
- Does Pauline Jackson accept Medicare?
- Pauline Jackson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Pauline Jackson's NPI active?
- Yes — Pauline Jackson's NPI (1417657636) is active in the NPPES registry as of the last update on 2025-11-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.