NPPES file of Aug 9, 2026

Andrea Marie Jackson, PHD

Psychologist · Creswell, OR

Andrea Marie Jackson, PHD is a psychologist with a practice address in Creswell, Oregon, and NPI 1194255877, issued on Jun 15, 2017. Check the license (Oregon 3120, as entered in NPPES) with the Oregon board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1194255877
Name
Andrea Marie Jackson
Credential
PHD
Primary taxonomy
Psychologist 103T00000X
License number
3120 OR
Self-reported in NPPES; status is on the state search
Practice location
170 Melton RD, Creswell, OR 97426
Phone
(541) 306-6456
Enumerated
Jun 15, 2017
Record last updated
Oct 30, 2024
Medicare enrollment
Enrolled (PECOS I20190905003099); accepts Medicare assignment
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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8 nearest psychologist records → All 742 in Oregon → Look up another NPI →

Also registered at 170 Melton RD

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Brittany Busby, PA-CMedical Physician Assistant1598434235
  2. Tracy Kreiling, PSYDClinical Psychologist1659682177
  3. Tyler Shupe, DPTPhysical Therapist1356696660

Verify Andrea Marie Jackson in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Oregon board licenses this profession
    Search for license 3120    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Oregon license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. Optum Behavioral Care OF Colorado PCEugene, OR

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Andrea Marie Jackson among 742 psychologist records in Oregon

Andrea Marie Jackson, PHD is one of 742 psychologist records with a practice address in Oregon. 13% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2017, is newer than 75% of them.

  • NPI issued2017 · 75% of these records are older, 21% newer
  • In a Medicare fileYes · 13% of these records are
  • In the CMS Doctors and Clinicians fileYes · 22% of these records are
  • Graduated2017 · median 2012 among the 161 with a school on file
  • Record last updated2024 · 59% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103T00000X and a Oregon practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Psychologist providers in Oregon

There are 742 psychologist records in Oregon.

All 742 in Oregon → Every provider in Creswell → Psychologist nationwide →

The 8 psychologist records with the nearest ZIP codes

  1. James Martin, M.D.Coos Bay, OR 974201497841118
  2. James WahlCoos Bay, OR 974201669492344
  3. Annamaria Anthony, PHDBrookings, OR 974151568692739
  4. Sterling Ellsworth, PHD PCElmira, OR 974371114062759
  5. Mickey Price, PSY.D.Brookings, OR 974151942573282
  6. Teresa Faillace, LCSWFlorence, OR 974391548330145
  7. Edmund Chaney, PHDBandon, OR 974111497852891
  8. Jean Hale, PSY.D.Gold Beach, OR 974441053405753

Common questions

What is Andrea Marie Jackson, PHD's NPI number?

Andrea Marie Jackson, PHD's National Provider Identifier (NPI) is 1194255877, issued on Jun 15, 2017. An NPI identifies a provider in billing; it is not a license.

Where is Andrea Marie Jackson, PHD located?

The NPPES record lists a practice address at 170 Melton RD, Creswell, OR, 97426. Phone: (541) 306-6456. Providers update this record themselves, so call before visiting.

How can I verify Andrea Marie Jackson, PHD's license?

NPPES lists Oregon license number 3120, as entered by the provider. Search the Oregon board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.