Fredda Nakia Jackson, MSN, APN-C
Individual provider Active NPI Acute Care Nurse Practitioner · Morristown, NJ
NPI 1487968012 · NPPES record last updated Dec 19, 2013
Key facts
- NPI
- 1487968012
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acute Care Nurse Practitioner 363LA2100X
- License
- 26NJ00264900 (NJ)
- Practice address
- 100 Madison Ave
Morristown, NJ 07960-6136 - Phone
- (201) 704-8416
- NPI assigned
- Aug 6, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Newbridge Services, Inc
Christian Health Care Center
Practice addresses (Care Compare)
1259 Route 46 E
BLDG 2 Suite 100a
Parsippany, NJ 07054-4913
Phone (973) 939-2470
301 Sicomac Ave
Wyckoff, NJ 07481-2159
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110912000012 | NJ | Practitioner - Nurse Practitioner | 7012188600 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts, Master of Science - Nursing, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christian Health Care Center | Current |
Accepting new patients | |
| Newbridge Services, Inc. | Current |
Accepting new patients | |
| Newbridge Services, Inc. | Current |
Accepting new patients | |
| Christian Health Care Center | Current |
Accepting new patients | |
| Newbridge Services, Inc. | Past | Accepting new patients |
Locations
1069 Ringwood Ave
Ste 202
Haskell, NJ 07420
Phone (973) 628-8530
99 Cherry Hill Rd
Ste 301
Parsippany, NJ 07054
Phone (973) 316-9333
1259 Route 46
Bldg 2
Parsippany, NJ 07054
Phone (973) 299-1100
7 Industrial Rd
Ste 300
Pequannock, NJ 07440
640 Newark Pompton Tpke
Pompton Plns, NJ 07444
Phone (973) 839-2700
301 Sicomac Ave
Wyckoff, NJ 07481
Phone (201) 848-5200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 26NJ00264900 | NJ | Yes |
Addresses
Primary practice location
100 Madison Ave
Morristown, NJ 07960-6136
Mailing address
PO Box 416457
Boston, MA 02241-6457
Phone (973) 656-6280
Other providers in Morristown, NJ
- Anthony Martino Iuso
- Danijela Ivelja-Hill
- Ivyrehab Network Inc
- Cynthia Leray Jackson
- Erin Tanner Jackson
- Unjeria Jackson
- Wadeeha Mahasin Jackson
- Heidi Elizabeth Jacobsen
- Jeanne Jacobwitz
- Latha Jadhav
All providers in Morristown, NJ · Acute Care Nurse Practitioner in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.