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

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: October 18, 2026.

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

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
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Marili Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Utmb Faculty Group Practice
52 mi
General Practice
301 UNIVERSITY BLVD
Galveston, TX 77555
  • Reassigned Medicare billing, Texas enrollment
  • 2,222 clinicians in this Medicare group
NPI 1942241146 (409) 772-2222

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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
5808 AIRLINE DR
HOUSTON, TX 77076
Harris County (713) 695-4013
CHANTEL MOREY
Pediatrics
5808 AIRLINE DR
HOUSTON, TX 77076
Harris County (713) 695-4013
MRS. CHRISTINE ELIZABETH BERGER LPC
Counselor (Professional)
5808 AIRLINE DR
HOUSTON, TX 77076
Harris County (832) 308-2251
DR. NORA CRISTINA SAAVEDRA MD
Pediatrics
5808 AIRLINE DR
HOUSTON, TX 77076
Harris County (713) 695-4013
HOUSTON COMMUNITY HEALTH CENTERS, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
5808 AIRLINE DR
HOUSTON, TX 77076
Harris County (713) 695-4013
DR. JUAN OLIVARES JR. MD
Pediatrics
5808 AIRLINE DR
HOUSTON, TX 77076
Harris County (713) 695-4013
DOCTORS' SERVICES FOUNDATION, INC.
General Practice
5808 AIRLINE DR
HOUSTON, TX 77076
Harris County (713) 695-4013

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 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.

Where is Marili Jackson located?

Marili Jackson practices at 5808 Airline Dr Airline Children's Clinic, Houston, TX 77076. The listed phone number is (713) 695-4013.

What is Marili Jackson's specialty?

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

Is Marili Jackson enrolled in Medicare?

Yes. Marili Jackson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Marili Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marili Jackson reassigns Medicare benefits to Utmb Faculty Group Practice (Galveston, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marili Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marili Jackson accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc. and Oscar Health Plan of North Carolina, Inc and 1 other insurer list Marili 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.

When was this NPI record last updated?

The NPPES record for Marili Jackson was last updated on December 2, 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.