Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. ANGELA CHASE JACKSON PA-C
NPI 1003018136
Physician Assistant in Fayetteville, NC

Active since June 01, 2007PECOS EnrolledAccepts Medicare Assignment
413 OWEN DRIVE, SUITE 201, FAYETTEVILLE, NC 28304(910) 323-9111(910) 484-2535 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Angela Chase Jackson Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. ANGELA CHASE JACKSON PA-C (NPI 1003018136) is an individual physician assistant in Fayetteville, North Carolina, licensed in North Carolina (001000770) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, is affiliated with Cape Fear Valley Medical Center, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1003018136
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. ANGELA CHASE JACKSONCredential: PA-C
Location Address413 OWEN DRIVE, SUITE 201Fayetteville, NC 28304-3411
Mailing Address413 Owen Drive, Suite 201Fayetteville, NC 28304-3411 · (910) 323-9111 · Fax (910) 484-2535
Fax(910) 484-2535
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJune 1, 2007
Last NPPES UpdateJune 24, 2026
NPPES CertifiedJune 24, 2026
NPI 1003018136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NC · 001000770
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
413 OWEN DRIVE, Fayetteville, NC 28304

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Angela Chase Jackson Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5991896938
PECOS Enrollment IDI20070806000804
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cape Fear Valley Medical Center

Acute Care Hospitals · Fayetteville, NC
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340028
Location1638 Owen Drive P O Box 2000Fayetteville, NC 28302 · Cumberland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28304 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers17 claims17 services$85.10 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$28.34 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Urgent Care)
413 OWEN DRIVE, SUITE 202
FAYETTEVILLE, NC 28304

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angela Jackson's NPI number?

The NPI number for Angela Jackson is 1003018136. It was assigned to this individual provider in the NPPES registry on June 1, 2007.

Where is Angela Jackson located?

Angela Jackson practices at 413 Owen Drive Suite 201, Fayetteville, NC 28304. The listed phone number is (910) 323-9111.

What is Angela Jackson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Angela Jackson enrolled in Medicare?

Yes. Angela Jackson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Angela Jackson accept?

Health plans from Blue Cross and Blue Shield of NC list Angela Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Angela Jackson affiliated with any hospitals?

According to CMS data, Angela Jackson is affiliated with Cape Fear Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Angela Jackson was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 50 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.