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Alexandria Nichelle Jackson , AGNP

Nurse Practitioner β€’ Gary, IN

Active NPI 1699277590 Individual Practitioner Female Practitioner
Practice location in NPPES

215 Broadway
Gary, IN 464021221

Call 2198885975 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

215 Broadway

Gary, IN 464021221

Telephone 2198885975

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Gary and Indiana

10 active clinicians are listed under Nurse Practitioner with a practice address in Gary, IN (2,597 in Indiana).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-09-29
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES GA RN249768

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Gerontology

NUCC Taxonomy Code: 363LG0600X

License # reported to NPPES GA RN249768
Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES MO 2026043495

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Primary Care

NUCC Taxonomy Code: 363LP2300X

License # reported to NPPES GA RN249768
Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES NY 751418

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Adult Health

NUCC Taxonomy Code: 363LA2200X

License # reported to NPPES GA RN249768
Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES OH 0043036

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Community Health

NUCC Taxonomy Code: 363LC1500X

License # reported to NPPES IN 71013380A
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Indiana Professional Licensing Agency.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Karen Rohrman , NP

Nurse Practitioner - Adult Health

NPI 1245436567

Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Business Mailing Address September 29, 2026

Registered at 2484 W 85TH LN, MERRILLVILLE, IN 464106942 (Tel: 2292914436)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 29, 2026

Nurse Practitioner (license number reported to NPPES: GA RN249768)

πŸ“
Updated Practice Location October 02, 2024

Registered at 215 BROADWAY, GARY, IN 464021221 (Tel: 2198885975)

πŸ“
Updated Business Mailing Address October 02, 2024

Registered at 1701 E 69TH AVE, MERRILLVILLE, IN 464103903 (Tel: 2292914436)

βœ…
NPI Profile Active March 06, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 06, 2018

Registered at 497 GREYHAWK WAY, FAIRBURN, GA 302134612 (Tel: 2292914436)

πŸ“
Business Mailing Address (Initial Record) March 06, 2018

Registered at 497 GREYHAWK WAY, FAIRBURN, GA 302134612 (Tel: 2292914436)

πŸ‘€
Provider Name / Credentials (Initial Record) March 06, 2018

Recorded as ALEXANDRIA JACKSON, AGNP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 06, 2018

Nurse Practitioner (license number reported to NPPES: GA RN249768)

🟒
Initial NPI Registration & Enumeration March 06, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1699277590
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 06, 2018
Last Update: September 29, 2026
Sole Proprietor: No

Other Nurse Practitioners in Gary

Healthcare providers in Gary

Mailing Address

2484 W 85th Ln

Merrillville, IN 464106942

Phone: 2292914436

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.