GLORIA L JACKSON CRNP
NPI 1013035294
Nurse Practitioner in Sewell, NJ

Q: What is Gloria Jackson's NPI number?

The NPI number for Gloria Jackson is 1013035294. It was assigned to this individual provider in the NPPES registry on March 27, 2007. The provider is also known as Gloria L Pitts Crnp.

Q: What is Gloria Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Gloria Jackson was last updated on December 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.

Active since March 27, 2007PECOS EnrolledAccepts Medicare Assignment

900 MEDICAL CENTER DR STE 200, SEWELL, NJ 08080(856) 557-7900 Get Directions Write a Review

NPPES record last updated: December 11, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 11, 2019, Nov 11, 2019 (2 updates tracked since 2019).

On this page

About Gloria L Jackson Crnp NPPES

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

GLORIA L JACKSON CRNP (NPI 1013035294) is an individual nurse practitioner in Sewell, New Jersey, licensed in New Jersey (26NJ00058800) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, is affiliated with Albert Einstein Medical Center, and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1013035294

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameGLORIA L JACKSONCredential: CRNP

Location Address900 MEDICAL CENTER DR STE 200Sewell, NJ 08080-2358

Mailing Address3400 Civic Center Blvd, Pcam 4 WestPhiladelphia, PA 19104 · (215) 615-5858 · Fax (215) 349-8144

Phone(856) 557-7900

Sole ProprietorNo

Medical School CMSOtherGraduated 2001

Enumeration DateMarch 27, 2007

Last NPPES UpdateDecember 11, 20192 updates tracked since enumeration

✔ NPI 1013035294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in NJ · 26NJ00058800✔ Licensed in PA · SP007231

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

900 MEDICAL CENTER DR STE 200, Sewell, NJ 08080

Open in Google Maps ↗

Other Names 1

Former Name (1)Gloria L Pitts Crnp

Secondary Practice Location 1

Location 13400 Civic Center Blvd, PCAM 4 WestPhiladelphia, PA 19104 · Phone (215) 615-5858 · Fax (215) 349-8144

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

Gloria L Jackson Crnp 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 ID7012012206

PECOS Enrollment IDI20070417000364

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

25 services24 patients

Hospital Affiliations CMS Care Compare

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

Albert Einstein Medical Center

Acute Care Hospitals · Philadelphia, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390142

Location5501 Old York RoadPhiladelphia, PA 19141 · Philadelphia County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08080 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

$94.90 typical visit price

range $61.59 – $185.05

Typical copayment $23.72 (range $15.39 – $46.26)

Most-billed visit code 99203

Established Patient

$107.94 typical visit price

range $20.08 – $150.98

Typical copayment $26.98 (range $5.02 – $37.74)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

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

PARMINDER BATH SOHAL

Nurse Practitioner (Family)