Individual provider Active NPI

Lindsey Maureen Jackson, FNP-BC

  • Family Nurse Practitioner
  • Reading, PA
National Provider Identifier
1265255442
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2024088267 Issued in PA
Practice address
1110 Rockland St
Reading, PA 19604-1501
Phone
(610) 988-4838
NPI assigned
Nov 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2024088267 PA Primary

Addresses

Primary practice location

1110 Rockland St
Reading, PA 19604-1501

Mailing address

322 Quittie Park Dr
Annville, PA 17003-2104
Phone (484) 769-8096

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260112003650 PA Practitioner - Nurse Practitioner 1254817901 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Berks Community Health CenterGroup PAC ID 2860643582, 16 clinicians

Practice addresses (Care Compare)

1110 Rockland St
Reading, PA 19604-1525
Phone (610) 988-4838

Hospital & facility affiliations

  • Reading Hospital Hospital, West Reading, PA, CCN 390044

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2024088267PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Berks Community Health Center CurrentSince Oct 11, 2025 Accepting new patients
Berks Community Health Center CurrentSince Oct 11, 2025 Accepting new patients
Berks Community Health Center Past Accepting new patients

Locations

838 Penn St
Reading, PA 19602
Phone (610) 988-4838

1110 Rockland St
Reading, PA 19604
Phone (610) 988-3848

645 Penn St
Ste 301
Reading, PA 19601
Phone (484) 772-4073

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1730764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1265255442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 QUITTIE PARK DR",
            "city": "ANNVILLE",
            "state": "PA",
            "postal_code": "170032104",
            "telephone_number": "484-769-8096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 ROCKLAND ST",
            "city": "READING",
            "state": "PA",
            "postal_code": "196041501",
            "telephone_number": "610-988-4838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "LINDSEY",
        "middle_name": "MAUREEN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-05",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "2024088267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, PA

Sources for this page

Verify at the official NPI Registry.