Michelle Jackson, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN04220 Issued in RI

Practice address

31 Greenlake Dr
Greenville, RI 02828-3101

Phone

(401) 226-7032

Fax

(401) 934-1011

NPI assigned

Sep 25, 2024

Last updated

Apr 14, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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

• Me Rhode Island LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Greenville, RI
  • NPI 1043030018
  Medicare reassignment NPD Authorized official
• Elite Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Cumberland, RI
  • NPI 1235601519
  NPD
• Next Level Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Coventry, RI
  • NPI 1326510603
  NPD

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

{
    "created_epoch": "1727222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1306663711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 GREENLAKE DR",
            "city": "GREENVILLE",
            "state": "RI",
            "postal_code": "028283101",
            "telephone_number": "401-226-7032",
            "fax_number": "401-934-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 GREENLAKE DR",
            "city": "GREENVILLE",
            "state": "RI",
            "postal_code": "028283101",
            "telephone_number": "401-226-7032",
            "fax_number": "401-934-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "MICHELLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-25",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "RI",
            "license": "APRN04220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Hogan, OTR
• Danalyn Holdredge, MA, BCBA, LBA
• Laura Horta, CNP
• Jennifer Alexis Hoxie, LICSW
• Robin L Jackman, P.T.A
• Mureen Angella James
• Mackenzie Jo-Ane Jaquith, MA, LBA, BCBA
• Jean Resnevic, DMD, LLC
• David Jennings, O.D.
• Noelle Johnston

• Psychiatric/Mental Health Nurse Practitioner in Greenville, RI
• Providers in Greenville, RI by specialty
• Psychiatric/Mental Health Nurse Practitioner in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.