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KASEY JACKSON MD
NPI 1053730416
Pediatrics in Orlando, FL

Active since April 14, 2014PECOS Enrolled
1561 S ALAFAYA TRL STE 400, ORLANDO, FL 32828(407) 249-1234(407) 249-1755 Get Directions Write a Review

NPPES record last updated: July 28, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 28, 2026, Dec 8, 2025, Nov 17, 2023 and 5 more (8 updates tracked since 2017).

About Kasey Jackson Md NPPES

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

KASEY JACKSON MD (NPI 1053730416) is an individual pediatrics provider in Orlando, Florida, licensed in Florida (ME176093) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1053730416
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameKASEY JACKSONCredential: MD
Location Address1561 S ALAFAYA TRL STE 400Orlando, FL 32828-8956
Mailing Address900 S Pine Island Rd Ste 800Plantation, FL 33324-3923 · (407) 249-1234 · Fax (407) 249-1755
Phone(407) 249-1234
Fax(407) 249-1755
Sole ProprietorNo
Enumeration DateApril 14, 2014
Last NPPES UpdateJuly 28, 20268 updates tracked since enumeration
NPPES CertifiedJuly 28, 2026
✔ NPI 1053730416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in FL · ME176093✔ Licensed in TN · 61971
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedPediatrics · Pediatric Hematology-OncologyTaxonomy 2080P0207X · License 61971 (TN), R3536 (TX)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1561 S ALAFAYA TRL STE 400, Orlando, FL 32828
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11500 Cooper StFort Worth, TX 76104-2710 · Phone (682) 885-4007 · Fax (682) 885-4004
Location 26701 Fannin StHouston, TX 77030-2608 · Phone (832) 824-1000
Location 33601 The Vanderbilt ClinicNashville, TN 37232-2608 · Phone (615) 322-3000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kasey Jackson Md 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 Kasey Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cook Children's Physician Network
1,002 mi
Pediatrics
801 7TH AVE
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Cook Childrens Physician Network
  • 1,186 clinicians in this Medicare group
NPI 1083472062 (682) 885-6483

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 32828 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 4

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

COLLEEN ALICIA CAPIRO APRN
Nurse Practitioner (Pediatrics)
1561 S ALAFAYA TRL STE 400
ORLANDO, FL 32828
Orange County (407) 249-1234
DR. TERESA C. ROJAS-SANCHEZ M.D.
Pediatrics
1561 S ALAFAYA TRL STE 400
ORLANDO, FL 32828
Orange County (407) 249-1234
SALISHA MOHAMMED
Pediatrics
1561 S ALAFAYA TRL STE 400
ORLANDO, FL 32828
Orange County (407) 249-1234
SALTZMAN, TANIS, PITTEL, LEVIN AND JACOBSON, LLC
Pediatrics
1561 S ALAFAYA TRL STE 400
ORLANDO, FL 32828
Orange County (407) 249-1234

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 Kasey Jackson's NPI number?

The NPI number for Kasey Jackson is 1053730416. It was assigned to this individual provider in the NPPES registry on April 14, 2014.

Where is Kasey Jackson located?

Kasey Jackson practices at 1561 S Alafaya Trl Ste 400, Orlando, FL 32828. The listed phone number is (407) 249-1234.

What is Kasey Jackson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kasey Jackson enrolled in Medicare?

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

Which organization bills Medicare for Kasey Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kasey Jackson reassigns Medicare benefits to Cook Children's Physician Network (Fort Worth, 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 Kasey Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kasey Jackson accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Kasey 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 Kasey Jackson was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.