Individual provider Active NPI

Judith Amy Jackson, FNP-C

  • Family Nurse Practitioner
  • Columbus, IN
National Provider Identifier
1871961250
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28173738A Issued in IN
Practice address
2118 25TH St Ste J
Columbus, IN 47201-3240
Phone
(812) 372-8426
Fax
(812) 378-7777
NPI assigned
Sep 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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 28173738A IN Primary

Addresses

Primary practice location

2118 25TH St Ste J
Columbus, IN 47201-3240

Mailing address

PO Box 775383
Chicago, IL 60677-5383
Phone (812) 376-5315

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jjackson39519@edirect.crh.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20150915000390 IN Practitioner - Nurse Practitioner 7416264098 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2118 25TH St
Columbus, IN 47201-3240

2146 25TH St
Suite L
Columbus, IN 47201-3203
Phone (812) 376-5323

2400 17TH St
Columbus, IN 47201-5351
Phone (812) 376-5974

Hospital & facility affiliations

  • Columbus Regional Hospital Hospital, Columbus, IN, CCN 150112

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28173738AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Regional Health Physicians, LLC CurrentSince Apr 22, 2022 Accepting new patients
Johnson Memorial Hospital CurrentSince May 11, 2019 Accepting new patients
Columbus Regional Health Physicians, LLC CurrentSince Apr 22, 2022 Accepting new patients
Johnson Memorial Hospital CurrentSince May 11, 2019 Accepting new patients
Columbus Regional Health Physicians, LLC Past Accepting new patients
Orthopaedic Care Center Under Johnson Memorial Hospital PastSince Jul 27, 2020 Accepting new patients

Locations

3015 10th St
Columbus, IN 47201
Phone (812) 372-8426

2118 25th St
Ste H
Columbus, IN 47201
Phone (812) 375-3660

2400 17th St
Columbus, IN 47201
Phone (812) 373-3025

2118 25th St
Ste D
Columbus, IN 47201
Phone (812) 372-8281

2118 25th St
Ste E
Columbus, IN 47201
Phone (812) 373-2700

2118 25th St
Ste C
Columbus, IN 47201
Phone (812) 372-8426

2118 25th St
Ste J
Columbus, IN 47201
Phone (812) 372-8426

1125 W Jefferson St
#A
Franklin, IN 46131

1125 W Jefferson St
Franklin, IN 46131
Phone (317) 346-3858

Interoperability endpoints

  • Direct secure messaging: jjackson39519@edirect.crh.org

Organizations & group practices 6

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 1

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": "1441152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1871961250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 775383",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606775383",
            "telephone_number": "812-376-5315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2118 25TH ST STE J",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472013240",
            "telephone_number": "812-372-8426",
            "fax_number": "812-378-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "JUDITH",
        "middle_name": "AMY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-02",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28173738A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jjackson39519@edirect.crh.org",
            "affiliation": "N",
            "endpointDescription": "Direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct address",
            "address_1": "3015 10th St",
            "city": "Columbus",
            "state": "IN",
            "country_code": "US",
            "postal_code": "472016603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, IN

Sources for this page

Verify at the official NPI Registry.