ELIZABETH RENEE JACKSON
NPI 1043033129
Physician Assistant - Medical in Stillwater, OK

Active since November 06, 2024PECOS EnrolledAccepts Medicare Assignment
1301 W 6TH AVE, STILLWATER, OK 74074(405) 533-1074 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 2, 2026, Nov 6, 2024 (2 updates tracked since 2024).

About Elizabeth Renee Jackson NPPES

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

ELIZABETH RENEE JACKSON (NPI 1043033129) is an individual medical provider in Stillwater, Oklahoma and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS, is affiliated with Stillwater Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1043033129
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameELIZABETH RENEE JACKSON
Location Address1301 W 6TH AVEStillwater, OK 74074-4375
Mailing Address4622 N Rogers DrStillwater, OK 74075-1654 · (580) 716-1503
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 6, 2024
Last NPPES UpdateJune 2, 20262 updates tracked since enumeration
NPPES CertifiedJune 2, 2026
NPI 1043033129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
1301 W 6TH AVE, Stillwater, OK 74074

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

Elizabeth Renee Jackson 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 ID2769911684
PECOS Enrollment IDI20250122001999
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.

Stillwater Medical Center

Acute Care Hospitals · Stillwater, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number370049
Location1323 West 6th StreetStillwater, OK 74076 · Payne County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 5

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

Radiology (Diagnostic Radiology)
1301 W 6TH AVE, SUITE 202
STILLWATER, OK 74074
Surgery
1301 W 6TH AVE, SUITE 105
STILLWATER, OK 74074
Psychiatry & Neurology (Neurology)
1301 W 6TH AVE, SUITE 108
STILLWATER, OK 74074
Specialist
1301 W 6TH AVE, SUITE 110
STILLWATER, OK 74074
Psychiatry & Neurology (Psychiatry)
1301 W 6TH AVE, SUITE 210
STILLWATER, OK 74074

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 Elizabeth Jackson's NPI number?

The NPI number for Elizabeth Jackson is 1043033129. It was assigned to this individual provider in the NPPES registry on November 6, 2024.

Where is Elizabeth Jackson located?

Elizabeth Jackson practices at 1301 W 6th Ave, Stillwater, OK 74074. The listed phone number is (405) 533-1074.

What is Elizabeth Jackson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Elizabeth Jackson enrolled in Medicare?

Yes. Elizabeth 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 Elizabeth Jackson accept?

Health plans from Mending Health list Elizabeth 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 Elizabeth Jackson affiliated with any hospitals?

According to CMS data, Elizabeth Jackson is affiliated with Stillwater Medical Center.

When was this NPI record last updated?

The NPPES record for Elizabeth Jackson was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.