Individual provider Active NPI

Jana Marie Jackson, CRNP

  • Family Nurse Practitioner
  • Scottsboro, AL
National Provider Identifier
1528613122
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-118564 Issued in AL
Practice address
505 Burlington St
Scottsboro, AL 35768-4216
Phone
(256) 259-4100
NPI assigned
Aug 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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 1-118564 AL Primary

Addresses

Primary practice location

505 Burlington St
Scottsboro, AL 35768-4216

Mailing address

505 Burlington St
Scottsboro, AL 35768-4216
Phone (256) 259-4100

Other practice location 1

2308 Pansy St SW
Huntsville, AL 35801-3803
Phone (256) 533-4377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20191007001076 AL Practitioner - Nurse Practitioner 2769713718 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Medicine for Your Family, PCGroup PAC ID 6507891637, 2 clinicians

Practice addresses (Care Compare)

505 Burlington St
Scottsboro, AL 35768-4216
Phone (256) 259-4100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Janeric Medical PLLC Current Accepting new patients
Family Medicine for Your Family PC CurrentSince Aug 1, 2019 Accepting new patients

Locations

2308 Pansy St SW
Huntsville, AL 35801
Phone (256) 297-1799

505 Burlington St
Scottsboro, AL 35768
Phone (256) 259-4100

Organizations & group practices 2

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 2

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": "1565308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1528613122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 BURLINGTON ST",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357684216",
            "telephone_number": "256-259-4100",
            "fax_number": "256-259-4104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 BURLINGTON ST",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357684216",
            "telephone_number": "256-259-4100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2308 Pansy St SW",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358013803",
            "country_code": "US",
            "telephone_number": "256-533-4377",
            "fax_number": "256-539-7874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "JANA",
        "middle_name": "MARIE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-09",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-118564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsboro, AL

Sources for this page

Verify at the official NPI Registry.