GRACIE JACKSON, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · SOUTH PASADENA, CA

Individual Active NPI 1255956314

Medicare payment data Part B · 2024

Year	Beneficiaries	Services	Submitted	Allowed	Paid
2024	13	94	$31,231	$10,014	$7,656
2022	44	71	$11,113	$5,901	$1,798

Taxonomy & licensure

Specialty	Code	Primary	License	State
Psychiatric/Mental Health Nurse Practitioner	363LP0808X	✓	NP95015149	CA

Medicare eligibility

Part B: Yes
DME: Yes
Home health: Yes
Power mobility: Yes
Hospice: No

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See all Psychiatric/Mental Health Nurse Practitioner providers in California →

Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.