Lesa Marie Jackson, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

23640 Issued in SC

Practice address

14 Raintree CT
Irmo, SC 29063-9431

Phone

(417) 459-3020

NPI assigned

Aug 28, 2020

Sex

Female

Sole proprietor

Yes

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 CA

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, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Urgent Care Now Inc a California Professional Medical CorporationGroup PAC ID 1456758085, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Urgent Care Now Inc, a California Professional Medical Corporation

  dba Urgent Care Now

  • Urgent Care Clinic/Center
  • Fair Oaks, CA
  • NPI 1740881457

  Single Specialty

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1518570589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 RAINTREE CT",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290639431",
            "telephone_number": "417-459-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 RAINTREE CT",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290639431",
            "telephone_number": "417-459-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "LESA",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-28",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "23640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irmo Primary Eyecare LLC (Irmo Primary Eyecare)
• Everlena Isaac
• J&J Anesthesia, LLC
• Angela Jackson, LISW-CP
• Laurie Wilkie Jackson, MSP-CCC, SLP
• Jakyve Consulting, LLC
• Jakyve Healthcare Consulting & Education
• Lesly Wilson James, PHD, OTR/L
• Michael A James
• Jennifer Jansen, LISW-CP

• Family Nurse Practitioner in Irmo, SC
• Providers in Irmo, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; 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.