Matt Jackson, AGAC NP- BC
NPI 1619419793 · Nurse Practitioner · Chicago, IL
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Matt Jackson, AGAC NP- BC is a Nurse Practitioner provider in Chicago, IL (NPI 1619419793).
Provider details
- NPI number
- 1619419793
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGAC NP- BC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 209015073 (IL)
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
9 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
- 2016-11-07
- Last updated
- 2026-01-28
- Certified
- 2026-01-28
Frequently asked questions
- What is Matt Jackson's NPI number?
- Matt Jackson's National Provider Identifier (NPI) is 1619419793, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Matt Jackson's specialty?
- Matt Jackson is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Matt Jackson located?
- Matt Jackson's practice location on file with NPPES is 676 N Saint Clair St Ste 650, Chicago, IL 60611-2929.
- What is Matt Jackson's phone number?
- The practice phone number listed in the NPPES registry for Matt Jackson is (312) 695-3800.
- Does Matt Jackson accept Medicare?
- Matt Jackson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Matt Jackson's NPI active?
- Yes — Matt Jackson's NPI (1619419793) is active in the NPPES registry as of the last update on 2026-01-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.