Judith Jackson, NURSE PRACTITIONER
NPI 1821055880 · Nurse Practitioner · Minneapolis, MN
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Judith Jackson, NURSE PRACTITIONER is a Nurse Practitioner provider in Minneapolis, MN (NPI 1821055880).
Provider details
- NPI number
- 1821055880
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NURSE PRACTITIONER
- Sex
- Female
- License
- R1144729 (MN)
Specialties & taxonomies
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
20 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
- 2006-04-26
- Last updated
- 2007-07-08
Frequently asked questions
- What is Judith Jackson's NPI number?
- Judith Jackson's National Provider Identifier (NPI) is 1821055880, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Judith Jackson's specialty?
- Judith Jackson is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Judith Jackson located?
- Judith Jackson's practice location on file with NPPES is 2450 Riverside Ave, Minneapolis, MN 55454-1395.
- What is Judith Jackson's phone number?
- The practice phone number listed in the NPPES registry for Judith Jackson is (612) 672-2288.
- Does Judith Jackson accept Medicare?
- Judith Jackson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Judith Jackson's NPI active?
- Yes — Judith Jackson's NPI (1821055880) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.