Samantha Ann Jackson
N.P. | Nurse Practitioner - Acute Care | 17+ years Exp
8075 N Shadeland Ave, Suite 200, Indianapolis
Indiana, 46250-2693
317-621-8500
Samantha Ann Jackson is a Indianapolis, Indiana based nurse practitioner with 17 years of experience in Acute Care. She completed her graduation in 2008. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Samantha Ann Jackson is 71002751A for Acute Care in Indiana. Her current practice location is 8075 N Shadeland Ave, Suite 200, Indianapolis. Patients can reach her at 317-621-8500 or can fax her at 317-621-8501. Samantha Ann Jackson is N.P. with specialization in Acute Care and her NPI number (Unique professional ID assigned by NPPES) is 1770729535.
Samantha Ann Jackson is a licensed independent practitioner and may autonomously provide care. She provides advanced nursing care across the continuum of health care services to meet the specialized physiologic and psychological needs of patients with acute, critical, and/or complex chronic health conditions. This care is continuous and comprehensive and may be provided in any setting where the patient may be found.
Complete Profile:
Samantha Ann Jackson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Samantha Ann Jackson |
| Specialization: | Acute Care Nurse Practitioner (ACNP) |
| Gender: | Female |
| Credentials: | N.P. |
| Experience: | 17+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2008 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 8075 N Shadeland Ave, Suite 200, Indianapolis,
Indiana, 46250-2693 |
| Phone: | 317-621-8500 |
| Fax: | 317-621-8501 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 2365592888 |
| Enrollment ID: | I20090604000046 |
| NPI Number: | 1770729535 |
| NPI Enumeration Date: | 29 Dec, 2008 |
| NPI Last Update On: | 11 Jun, 2021 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Samantha Ann Jackson are as mentioned below.
| License Number | Specialization | State | Status | |
| 71002751A | Acute Care | Indiana | Primary | |
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (150074) | Indianapolis, IN | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Samantha Ann Jackson is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Community Physicians Of Indiana Inc (1759416662) | 1228 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Samantha Ann Jackson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 200930050 | Medicaid | Indiana | |
| P01235984 | Other | Indiana | MEDICARE RR PTAN |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Samantha Ann Jackson
6626 E 75th St, Ste 500
Indianapolis, Indiana |
| Zip: | 46250-2805 |
Patients can reach Samantha Ann Jackson at
8075 N Shadeland Ave, Suite 200, Indianapolis, Indiana or can
call to book an appointment on 317-621-8500.
Comments/ Reviews:
Patients can read all the reviews posted for Samantha Ann Jackson below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Samantha Ann Jackson. It will help others make informed decisions.
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.