MS. MARILI MEDINA JACKSON CPNP
NPI 1033466537
Nurse Practitioner - Pediatrics in Houston, TX

Q: What is Marili Jackson's NPI number?

The NPI number for Marili Jackson is 1033466537. It was assigned to this individual provider in the NPPES registry on August 14, 2012.

Q: What is Marili Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Marili Jackson was last updated on December 2, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 14, 2012PECOS Enrolled

5808 AIRLINE DR, AIRLINE CHILDREN'S CLINIC, HOUSTON, TX 77076(713) 695-4013 Get Directions Write a Review

NPPES record last updated: December 2, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 2, 2019, Jun 30, 2016 (2 updates tracked since 2016).

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About Ms. Marili Medina Jackson Cpnp NPPES

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

MS. MARILI MEDINA JACKSON CPNP (NPI 1033466537) is an individual pediatrics provider in Houston, Texas, licensed in Texas (AP122290) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033466537

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMS. MARILI MEDINA JACKSONCredential: CPNP

Location Address5808 AIRLINE DR, AIRLINE CHILDREN'S CLINICHouston, TX 77076-4923

Mailing Address5808 Airline Dr, Airline Children's ClinicHouston, TX 77076-4923 · (713) 695-4013

Phone(713) 695-4013

Sole ProprietorYes

Enumeration DateAugust 14, 2012

Last NPPES UpdateDecember 2, 20192 updates tracked since enumeration

✔ NPI 1033466537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

Licenses✔ Licensed in TX · AP122290✔ Licensed in TX · 708633

5808 AIRLINE DR, Houston, TX 77076

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Marili Medina Jackson Cpnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77076 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

$90.40 typical visit price

range $58.24 – $176.98

Typical copayment $22.60 (range $14.56 – $44.24)

Most-billed visit code 99203

Established Patient

$102.71 typical visit price

range $18.60 – $143.93

Typical copayment $25.67 (range $4.65 – $35.98)

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.

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Other Providers at the Same Location NPPES 7

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

DR. KEMISOLA OMOSEYE AJUWON M.D.

Pediatrics