Jackson Psychiatric and Primary Care Services
NPI 1689251183 · Psychiatric/Mental Health Nurse Practitioner · Las Vegas, NV
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jackson Psychiatric and Primary Care Services is a Psychiatric/Mental Health Nurse Practitioner organization in Las Vegas, NV (NPI 1689251183).
Provider details
- NPI number
- 1689251183
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Simone Jackson, Clinical Director(901) 283-1975
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Family Nurse Practitioner363LF0000X
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
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 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
Other names (DBA / former)
- Doing business as
- Optimal Mind Studio
Additional practice locations (2)
- 9005 W Oquendo Rd Apt 3036Las Vegas, NV 89148-1524Phone: (901) 283-1975
- 6415 S Fort Apache Rd Ste 185-3056Las Vegas, NV 89148-6744Phone: (901) 283-1975
Registry dates
- Enumerated
- 2021-03-29
- Last updated
- 2026-01-29
- Certified
- 2026-01-29
Frequently asked questions
- What is Jackson Psychiatric and Primary Care Services's NPI number?
- Jackson Psychiatric and Primary Care Services's National Provider Identifier (NPI) is 1689251183, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jackson Psychiatric and Primary Care Services?
- Jackson Psychiatric and Primary Care Services is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jackson Psychiatric and Primary Care Services located?
- Jackson Psychiatric and Primary Care Services's practice location on file with NPPES is 101 Convention Center Dr Ste 900, Las Vegas, NV 89109-2039.
- What is Jackson Psychiatric and Primary Care Services's phone number?
- The practice phone number listed in the NPPES registry for Jackson Psychiatric and Primary Care Services is (702) 355-8294.
- Does Jackson Psychiatric and Primary Care Services accept Medicare?
- Jackson Psychiatric and Primary Care Services 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 and Primary Care Services?
- The authorized official listed on Jackson Psychiatric and Primary Care Services's NPPES record is Simone Jackson, Clinical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jackson Psychiatric and Primary Care Services's NPI active?
- Yes — Jackson Psychiatric and Primary Care Services's NPI (1689251183) is active in the NPPES registry as of the last update on 2026-01-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.