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

Samantha Ann Jackson, NP

Individual provider Acute Care Nurse Practitioner · NPI 1770729535

Samantha Ann Jackson, NP is a Nurse Practitioner in Indianapolis, Indiana. Qualified in 2008, 18 years ago. Practices with Community Physician Network Specialty Care LLC, a 252-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
18
Licensed in
IN
In the registry since
2008
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

8075 N Shadeland Ave Ste 200
Indianapolis, IN 46250-2693
Phone: (317) 621-8500
Fax: (317) 621-8501
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 71002751A (IN)

Record details

NPI number1770729535
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedDecember 29, 2008
Last updated in NPPESJune 11, 2021
Certification dateJune 11, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Community Physician Network Specialty Care Llc — 252 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Indianapolis