Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bennett J Jackson, ANP

Individual provider Nurse Practitioner · NPI 1568523157

Bennett J Jackson, ANP is a Nurse Practitioner in Anchorage, Alaska. Qualified in 2000, 26 years ago. Practices with Urgent Care of Soldotna Inc, a 5-clinician group and accepts Medicare assignment. Licensed in Alaska.

Years since qualifying
26
Licensed in
AK
In the registry since
2006
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Practice location Address checks out

6307 Debarr Rd Ste C
Anchorage, AK 99504-1783
Phone: (907) 333-7425
Fax: (907) 333-7719
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 666 (AK)

Record details

NPI number1568523157
Entity typeIndividual (Type 1)
GenderMale
Credentials ANP
Sole proprietorNo
NPI enumeratedDecember 13, 2006
Last updated in NPPESNovember 1, 2024
Certification dateNovember 1, 2024
Mailing addressPo Box 110413, Anchorage, AK 99511-0413

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Urgent Care Of Soldotna Inc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Anchorage