COOPER MARC JACKSON
NPI 1053013383
Physician Assistant - Medical in La Crosse, WI
About Cooper Marc Jackson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COOPER MARC JACKSON (NPI 1053013383) is an individual medical provider in La Crosse, Wisconsin, licensed in Wisconsin (7930) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS, is affiliated with Essentia Health St Mary's Medical Center, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses 2
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
Cooper Marc 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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Essentia Health St Mary's Medical Center
Acute Care Hospitals · Duluth, MNEssentia Health Virginia
Acute Care Hospitals · Virginia, MNGundersen Lutheran Medical Center
Acute Care Hospitals · La Crosse, WISt Marys Hospital Superior
Critical Access Hospitals · Superior, WIOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LA CROSSE, WI 54601
LA CROSSE, WI 54601
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 Cooper Jackson's NPI number?
The NPI number for Cooper Jackson is 1053013383. It was assigned to this individual provider in the NPPES registry on March 20, 2023.
Where is Cooper Jackson located?
Cooper Jackson practices at 1836 South Ave, La Crosse, WI 54601. The listed phone number is (608) 782-7300.
What is Cooper Jackson's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Cooper Jackson enrolled in Medicare?
Yes. Cooper 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 Cooper Jackson accept?
Health plans from Anthem Blue Cross and Blue Shield and Medica list Cooper 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 Cooper Jackson affiliated with any hospitals?
According to CMS data, Cooper Jackson is affiliated with Essentia Health St Mary's Medical Center, Essentia Health Virginia, Gundersen Lutheran Medical Center and St Marys Hospital Superior.
When was this NPI record last updated?
The NPPES record for Cooper Jackson was last updated on October 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.
# Cooper Marc Jackson · NPI 1053013383
Medical physician in La Crosse, Wisconsin. Individual provider, active in the CMS NPPES registry since March 20, 2023.
## Identity
- **NPI:** 1053013383 (Entity type: Individual)
- **Enumerated:** March 20, 2023
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 7930 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 1836 SOUTH AVE, La Crosse, WI 54601-5429
- **Phone:** (608) 782-7300
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** October 22, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1053013383) · Data from the CMS NPPES public registry.