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LEE DOUGLAS JACKSON NP-C
NPI 1053602102
Nurse Practitioner - Family in Fort Myers, FL

Active since April 25, 2011PECOS EnrolledAccepts Medicare Assignment
16271 BASS RD, FORT MYERS, FL 33908(239) 343-7100(239) 468-7924 Get Directions Write a Review

NPPES record last updated: May 27, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 27, 2026, Mar 6, 2024, Feb 7, 2019 and 1 more (4 updates tracked since 2015).

About Lee Douglas Jackson Np-c NPPES

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

LEE DOUGLAS JACKSON NP-C (NPI 1053602102) is an individual family provider in Fort Myers, Florida, licensed in Florida (APRN11027444) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with Lee Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1053602102
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameLEE DOUGLAS JACKSONCredential: NP-C
Location Address16271 BASS RDFort Myers, FL 33908-3616
Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 343-9100 · Fax (239) 343-9108
Phone(239) 343-7100
Fax(239) 468-7924
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateApril 25, 2011
Last NPPES UpdateMay 27, 20264 updates tracked since enumeration
NPPES CertifiedMay 27, 2026
✔ NPI 1053602102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in FL · APRN11027444✔ Licensed in WA · AP60602473✔ Licensed in MO · 2011003377✔ Licensed in KS · 5375350071
Also ListedNurse PractitionerTaxonomy 363L00000X · License AP60602473 (WA)
16271 BASS RD, Fort Myers, FL 33908
Open in Google Maps ↗

Secondary Practice Locations 2

Location 19131 College Pointe CtFort Myers, FL 33919-3245 · Phone (239) 343-9100 · Fax (239) 343-9108
Location 2214 W 1st StCle Elum, WA 98922-1108 · Phone (509) 674-6779 · Fax (509) 674-6896

Other Identifiers 1

Medicaid121013000FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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 and accepts Medicare assignment

Lee Douglas Jackson Np-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 ID4183800709
PECOS Enrollment IDI20240123004245
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 7

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
69 services63 patients
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.
56 services45 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
29 services29 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
19 services19 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.
19 services19 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Lee Memorial Hospital

Acute Care Hospitals · Fort Myers, FL
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100012
Location2776 Cleveland AveFort Myers, FL 33901 · Lee County
Emergency services Birthing friendly

Cape Coral Hospital

Acute Care Hospitals · Cape Coral, FL
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100244
Location636 Del Prado BlvdCape Coral, FL 33990 · Lee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33908 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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 20

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

MRS. THERESA ROSE COREY APRN
Nurse Practitioner (Family)
16271 BASS RD
FORT MYERS, FL 33908
Lee County (239) 343-7100
ABIGAIL ELIZABETH TATTERSALL PAC
Physician Assistant
16271 BASS RD
FORT MYERS, FL 33908
Lee County (239) 343-7100
JOYCE KEIM ARNP
Nurse Practitioner (Family)
16271 BASS RD
FORT MYERS, FL 33908
Lee County (239) 343-7100
CHRISTINA SIERRA CNM
Advanced Practice Midwife
16271 BASS RD
FT MYERS, FL 33908
Lee County (239) 343-7100
ROSE POTHEN M.D.
Family Medicine
16271 BASS RD
FT MYERS, FL 33908
Lee County (239) 432-4235
MARLI CAROLINA ALMONTE NUNEZ MD
Internal Medicine
16271 BASS RD
FORT MYERS, FL 33908
Lee County (239) 343-7100
RACHEL MICHELE GOMEZ PA.
Physician Assistant
16271 BASS RD
FORT MYERS, FL 33908
Lee County (239) 985-1925
JULIANNE GRACE SINN PA
Physician Assistant
16271 BASS RD
FORT MYERS, FL 33908
Lee County (239) 343-7100

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 Lee Jackson's NPI number?

The NPI number for Lee Jackson is 1053602102. It was assigned to this individual provider in the NPPES registry on April 25, 2011.

Where is Lee Jackson located?

Lee Jackson practices at 16271 Bass Rd, Fort Myers, FL 33908. The listed phone number is (239) 343-7100.

What is Lee Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lee Jackson enrolled in Medicare?

Yes. Lee 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 Lee Jackson accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and PacificSource Health Plans and 1 other insurer list Lee 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 Lee Jackson affiliated with any hospitals?

According to CMS data, Lee Jackson is affiliated with Lee Memorial Hospital and Cape Coral Hospital.

When was this NPI record last updated?

The NPPES record for Lee Jackson was last updated on May 27, 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.