Polly Rebecca Jackson, AG-ACNP
Acute Care Nurse Practitioner · Washington, MO
Polly Rebecca Jackson, AG-ACNP is an acute care nurse practitioner with a practice address in Washington, Missouri, and NPI 1790150688, issued on Dec 3, 2015. Check the license (Missouri 2015041436, as entered in NPPES) with the Missouri board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Polly Rebecca Jackson
- Credential
- AG-ACNP
- Primary taxonomy
- Acute Care Nurse Practitioner 363LA2100X
- License number
- 2015041436 MO
Self-reported in NPPES; status is on the state search - Practice location
- 901 E 5TH St, Washington, MO 63090
- Phone
- (636) 239-8231
- Enumerated
- Dec 3, 2015
- Record last updated
- Oct 25, 2022
- Entity
- Type 1 · individual
8 nearest acute care nurse practitioner records → All 441 in Missouri → Look up another NPI →
Also registered at 901 E 5TH St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Suraj Kumar Alakkassery Kumaran, MDInternal Medicine Physician1568698306
- Lydia Archuleta, M.D.Internal Medicine Physician1205282639
- Fiona Aronberg, ACNPAcute Care Nurse Practitioner1396903506
- Sarah Becker, COTAOccupational Therapy Assistant1457563082
- Melissa Bedel, NPAcute Care Nurse Practitioner1326755505
- Rajasekhar Bhoda, M.DHospitalist Physician1144485798
Verify Polly Rebecca Jackson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Missouri board licenses this profession
Search for license 2015041436Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Polly Rebecca Jackson among 441 acute care nurse practitioner records in Missouri
Polly Rebecca Jackson, AG-ACNP is one of 441 acute care nurse practitioner records with a practice address in Missouri. 80% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2015, is newer than 26% of them.
- NPI issued2015 · 26% of these records are older, 70% newer
- In a Medicare fileNo · 80% of these records are
- In the CMS Doctors and Clinicians fileNo · 73% of these records are
- Record last updated2022 · 34% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363LA2100X and a Missouri practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
6 acute care nurse practitioner records list a practice address in Washington
They are 6 of the 533 NPPES records with a practice address in Washington, and 441 acute care nurse practitioner records in Missouri. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 441 in Missouri → Every provider in Washington → Acute Care Nurse Practitioner nationwide →
The 8 acute care nurse practitioner records with the nearest ZIP codes
- Fiona Aronberg, ACNPWashington, MO 630901396903506
- Melissa Bedel, NPWashington, MO 630901326755505
- Sandra Nicks, RN, ACNP-BCWashington, MO 630901972804656
- Sarah Russell, AGACNP-BCWashington, MO 630901417623828
- Breezy Stanley, ACNPWashington, MO 630901932711389
- Kelly Hinson, ACNPSullivan, MO 630801558729905
- Jordan Lange, AGACNP-BCSaint Louis, MO 631021881451235
- Timothy Adrian, APRNSaint Louis, MO 631041578437182
Common questions
What is Polly Rebecca Jackson, AG-ACNP's NPI number?
Polly Rebecca Jackson, AG-ACNP's National Provider Identifier (NPI) is 1790150688, issued on Dec 3, 2015. An NPI identifies a provider in billing; it is not a license.
Where is Polly Rebecca Jackson, AG-ACNP located?
The NPPES record lists a practice address at 901 E 5TH St, Washington, MO, 63090. Phone: (636) 239-8231. Providers update this record themselves, so call before visiting.
How can I verify Polly Rebecca Jackson, AG-ACNP's license?
NPPES lists Missouri license number 2015041436, as entered by the provider. Search the Missouri 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. An NPI identifies who bills; it is not a license.
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.