MICHELLE K. JACKSON, N.D. — NPI 1821156142 (Licensed & Credentialed Naturopath in BEND, OR)

CMS-1500 Box 24J / 33a • NPI

1821156142

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

175F00000X

Licensed & Credentialed Naturopath

Box 32 Service Location & ZIP+4

334 NE IRVING AVE, BEND, OR, 97701-4710

✓ 9-Digit EDI 837 ZIP+4 (97701-4710)

Practice Phone & Referral Fax

(541) 385-0775

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1821156142 (MICHELLE K. JACKSON, N.D.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1821156142` (NPI-1 Individual Practitioner)
Provider / Legal Name	MICHELLE K. JACKSON, N.D.
Plain-English Specialty	Licensed & Credentialed Naturopath NUCC Code: `175F00000X` (Naturopath)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	334 NE IRVING AVE, BEND, OR, 97701-4710
Practice Telephone / Fax	Tel: (541) 385-0775
Administrative Mailing Address	16962 QUARTZ HILL RD, SUNRIVER, OR, 97707-2212
Enumeration & Last Sync	Enumerated: 2006-12-06 \| CMS Record Updated: 2007-07-08

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

334 NE IRVING AVE, BEND, OR, 97701-4710

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Plain-English Taxonomy & CMS Crosswalk (175F00000X)

What Does Taxonomy Code 175F00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 175F00000X translates to:
"Licensed & Credentialed Naturopath"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Naturopath for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (MICHELLE K. JACKSON, N.D.)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`175F00000X` — Naturopath Plain English: Licensed & Credentialed Naturopath	State: OR \| License: `1151` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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MICHELLE K. JACKSON, N.D. (NPI #1821156142)