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MS. PHYLLIS E JACKSON PA-C
NPI 1043649627
Physician Assistant in Glen Mills, PA

Active since November 05, 2013PECOS EnrolledAccepts Medicare Assignment
300 EVERGREEN DR, SUITE 150, GLEN MILLS, PA 19342(610) 874-1184(610) 874-4258 Get Directions Write a Review

NPPES record last updated: May 6, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Phyllis E Jackson Pa-c NPPES

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

MS. PHYLLIS E JACKSON PA-C (NPI 1043649627) is an individual physician assistant in Glen Mills, Pennsylvania, licensed in Pennsylvania (MA000510L) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS, is affiliated with Inspira Medical Center Mullica Hill, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1043649627
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. PHYLLIS E JACKSONCredential: PA-C
Location Address300 EVERGREEN DR, SUITE 150Glen Mills, PA 19342-1059
Mailing Address300 Evergreen Dr, Suite 150Glen Mills, PA 19342-1059 · (610) 874-1184 · Fax (610) 874-4258
Phone(610) 874-1184
Fax(610) 874-4258
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateNovember 5, 2013
Last NPPES UpdateMay 6, 2014
✔ NPI 1043649627 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 PA · MA000510L
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.
300 EVERGREEN DR, Glen Mills, PA 19342
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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

Ms. Phyllis E 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 ID7113141862
PECOS Enrollment IDI20230628002473
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 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
126 services66 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
54 services52 patients

Hospital Affiliations CMS Care Compare

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

Inspira Medical Center Mullica Hill

Acute Care Hospitals · Mullica Hill, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310069
Location700 Mullica Hill RdMullica Hill, NJ 08062 · Gloucester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19342 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

Other Providers at the Same Location NPPES 20

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

KIMBERLEY ANN WESOLOWSKI
Nurse Practitioner (Family)
300 EVERGREEN DR
GLEN MILLS, PA 19342
Delaware County (610) 558-1934
HEALTH ACCESS NETWORK
Family Medicine
300 EVERGREEN DR, SUITE 310
GLEN MILLS, PA 19342
Delaware County (610) 579-3555
MRS. PATRICIA CAROL ECKART CRNP
Nurse Practitioner (Family)
300 EVERGREEN DR, SUITE 310
GLEN MILLS, PA 19342
Delaware County (610) 579-3555
CORINNE ROSE MCENTEE PA-C
Physician Assistant
300 EVERGREEN DR
GLEN MILLS, PA 19342
Delaware County (610) 579-3400
DR. JOEL G MORANZ MD
Obstetrics & Gynecology
300 EVERGREEN DR, SUITE 170
GLEN MILLS, PA 19342
Delaware County (610) 521-4311
SHANNON BONINI
Specialist/Technologist (Athletic Trainer)
300 EVERGREEN DR
GLEN MILLS, PA 19342
Delaware County (610) 876-0347
DR. CHRISTIE O MOUSAW DO
Family Medicine
300 EVERGREEN DR, SUITE 310
GLEN MILLS, PA 19342
Delaware County (610) 579-3564
DR. MICHAEL A KRAFCHICK DO
Family Medicine
300 EVERGREEN DR, SUITE 1500
GLEN MILLS, PA 19342
Delaware County (610) 579-3444

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 Phyllis Jackson's NPI number?

The NPI number for Phyllis Jackson is 1043649627. It was assigned to this individual provider in the NPPES registry on November 5, 2013.

Where is Phyllis Jackson located?

Phyllis Jackson practices at 300 Evergreen Dr Suite 150, Glen Mills, PA 19342. The listed phone number is (610) 874-1184.

What is Phyllis Jackson's specialty?

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

Is Phyllis Jackson enrolled in Medicare?

Yes. Phyllis 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.

Is Phyllis Jackson affiliated with any hospitals?

According to CMS data, Phyllis Jackson is affiliated with Inspira Medical Center Mullica Hill.

When was this NPI record last updated?

The NPPES record for Phyllis Jackson was last updated on May 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.