NPPES file of Aug 9, 2026

Glenda Elizabeth Jackson, R.N.

Psychiatric/Mental Health Nurse Practitioner · Kenosha, WI

Glenda Elizabeth Jackson, R.N. is a psychiatric/mental health nurse practitioner with a practice address in Kenosha, Wisconsin, and NPI 1205291572, issued on Dec 30, 2015. Check the license (Wisconsin 16452-33, as entered in NPPES) with the Wisconsin 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
1205291572
Name
Glenda Elizabeth Jackson
Credential
R.N.
Primary taxonomy
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
License numbers
16452-33 WI
16452 WI
Self-reported in NPPES; status is on the state search
Practice location
12225 71St St, Kenosha, WI 53142
Phone
(877) 666-7223
Enumerated
Dec 30, 2015
Record last updated
Jun 25, 2025
Fax
(262) 948-4871
Medicaid IDs
100310731 WI
100310882 WI
Medicare enrollment
Enrolled (PECOS I20250402003137); 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 psychiatric/mental health nurse practitioner records → All 710 in Wisconsin → Look up another NPI →

Also registered at 12225 71St St

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

  1. Stephani DiagneClinical Social Worker1023746179
  2. Katherine Flynn, PSY.D.Psychologist1376720359
  3. Peggy Horon, LPCProfessional Counselor1770812984
  4. Steven Kenzer, D.O.Rheumatology Physician1255432134
  5. Anna Klyachkina, M.D.Psychiatry Physician1518928118
  6. Jill Lotz, APNPNurse Practitioner1679963706

Verify Glenda Elizabeth Jackson in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Wisconsin board licenses this profession
    Search for license 16452-33    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 Wisconsin 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. Aurora Medical Group, Inc.Kenosha, WI

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

Glenda Elizabeth Jackson among 710 psychiatric/mental health nurse practitioner records in Wisconsin

Glenda Elizabeth Jackson, R.N. is one of 710 psychiatric/mental health nurse practitioner records with a practice address in Wisconsin. 73% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2015, is newer than 29% of them.

  • NPI issued2015 · 29% of these records are older, 69% newer
  • In a Medicare fileYes · 73% of these records are
  • In the CMS Doctors and Clinicians fileYes · 65% of these records are
  • Graduated2024 · median 2020 among the 458 with a school on file
  • Record last updated2025 · 20% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363LP0808X and a Wisconsin practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Psychiatric/Mental Health Nurse Practitioner providers in Wisconsin

There are 710 psychiatric/mental health nurse practitioner records in Wisconsin.

All 710 in Wisconsin → Every provider in Kenosha → Psychiatric/Mental Health Nurse Practitioner nationwide →

The 8 psychiatric/mental health nurse practitioner records with the nearest ZIP codes

  1. Annette Bale, APRNKenosha, WI 531421639775281
  2. Ojiugo Daniel, NPKenosha, WI 531421841168820
  3. Imelda Forsberg, NURSE PRACTITIONERKenosha, WI 531421306027891
  4. Christine Foster, APNP, RNKenosha, WI 531421063525913
  5. Dorothy Kozakowski, DNP, APNKenosha, WI 531421588909196
  6. Scott Mingilino, FNP-BC, PMHNP-BCKenosha, WI 531421770090102
  7. Jennie Peters, PMHNP-BC, FNPKenosha, WI 531421477743995
  8. Logan Pockl, APNPKenosha, WI 531421407530934

Common questions

What is Glenda Elizabeth Jackson, R.N.'s NPI number?

Glenda Elizabeth Jackson, R.N.'s National Provider Identifier (NPI) is 1205291572, issued on Dec 30, 2015. An NPI identifies a provider in billing; it is not a license.

Where is Glenda Elizabeth Jackson, R.N. located?

The NPPES record lists a practice address at 12225 71St St, Kenosha, WI, 53142. Phone: (877) 666-7223. Providers update this record themselves, so call before visiting.

How can I verify Glenda Elizabeth Jackson, R.N.'s license?

NPPES lists Wisconsin license number 16452-33, as entered by the provider. Search the Wisconsin 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.