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CASSANDRA RAY JACKSON MD
NPI 1053998781
Psychiatry & Neurology - Psychiatry in Sioux Falls, SD

Active since March 27, 2021PECOS EnrolledAccepts Medicare Assignment
4400 W 69TH ST STE 500, SIOUX FALLS, SD 57108(605) 322-5700 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 5, 2026, Jul 1, 2024, Mar 27, 2021 (3 updates tracked since 2021).

About Cassandra Ray Jackson Md NPPES

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

CASSANDRA RAY JACKSON MD (NPI 1053998781) is an individual psychiatry provider in Sioux Falls, South Dakota, licensed in South Dakota (0615) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, is affiliated with Avera Mckennan Hospital & University Health Center, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1053998781
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameCASSANDRA RAY JACKSONCredential: MD
Location Address4400 W 69TH ST STE 500Sioux Falls, SD 57108-8171
Mailing Address4400 W 69th St Ste 500Sioux Falls, SD 57108-8171 · (605) 988-4781
Phone(605) 322-5700
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 27, 2021
Last NPPES UpdateMay 5, 20263 updates tracked since enumeration
NPPES CertifiedMay 5, 2026
✔ NPI 1053998781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in SD · 0615✔ Licensed in MN · 72875
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4400 W 69TH ST STE 500, Sioux Falls, SD 57108
Open in Google Maps ↗

Other Names 1

Other Name (5)Cassie Jackson

Secondary Practice Locations 4

Location 1300 S Bruce StMarshall, MN 56258-1934 · Phone (507) 537-9318
Location 2301 Becker Ave SWWillmar, MN 56201-3302 · Phone (320) 235-4543
Location 31406 6th Ave NSaint Cloud, MN 56303-1900 · Phone (320) 240-2836
Location 41400 W 22nd StSioux Falls, SD 57105-1554 · Phone (605) 322-5737

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, HealthPartners, Sanford Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Cassandra Ray Jackson Md 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 ID7517369309
PECOS Enrollment IDI20230103000017
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 Reassignments

4

Medicare enrollment records show Cassandra Jackson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Centracare Clinic Southwest LLC
138 mi
Multi-Specialty
101 WILLMAR AVE SW
Willmar, MN 56201
  • Reassigned Medicare billing, Minnesota enrollment
  • 236 clinicians in this Medicare group
NPI 1174106264 (320) 231-5000
Carris Health LLC
138 mi
Emergency Medicine
301 BECKER AVE SW
Willmar, MN 56201
  • Reassigned Medicare billing, Minnesota enrollment
  • 179 clinicians in this Medicare group
NPI 1134632680 (320) 235-4543
St. Cloud Hospital
181 mi
Physical Therapy
30 RAILROAD AVE
Albany, MN 56307
  • Reassigned Medicare billing, Minnesota enrollment
  • 415 clinicians in this Medicare group
NPI 1609241447 (320) 845-6138
Centracare Health System-Nr LLC
190 mi
Critical Access
1013 HART BLVD
Monticello, MN 55362
  • Reassigned Medicare billing, Minnesota enrollment
  • 285 clinicians in this Medicare group
NPI 1275872772 (763) 295-2945

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
24 services13 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
22 services13 patients

Hospital Affiliations CMS Care Compare

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

Avera Mckennan Hospital & University Health Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430016
Location1325 S Cliff AveSioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57108 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
$167.23 typical visit price
range $55.52 – $167.23
Typical copayment $41.80 (range $13.88 – $41.80)
Most-billed visit code 99205
Established Patient
$69.20 typical visit price
range $18.08 – $137.08
Typical copayment $17.30 (range $4.52 – $34.27)
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

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

BRENDAN BRODERSEN DO
Psychiatry & Neurology (Child & Adolescent Psychiatry)
4400 W 69TH ST STE 500
SIOUX FALLS, SD 57108
Lincoln County (605) 322-5700

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 Cassandra Jackson's NPI number?

The NPI number for Cassandra Jackson is 1053998781. It was assigned to this individual provider in the NPPES registry on March 27, 2021. The provider is also known as Cassie Jackson.

Where is Cassandra Jackson located?

Cassandra Jackson practices at 4400 W 69th St Ste 500, Sioux Falls, SD 57108. The listed phone number is (605) 322-5700.

What is Cassandra Jackson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Cassandra Jackson enrolled in Medicare?

Yes. Cassandra 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.

Which organizations bill Medicare for Cassandra Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cassandra Jackson reassigns Medicare benefits to 4 organizations: Centracare Clinic Southwest LLC (Willmar, MN), Carris Health LLC (Willmar, MN), St. Cloud Hospital (Albany, MN) and Centracare Health System-Nr LLC (Monticello, MN). Each 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 Cassandra Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cassandra Jackson accept?

Health plans from Avera Health Plans, HealthPartners, Sanford Health Plan, Wellmark Health Plan of Iowa, Inc. and Wellmark of South Dakota, Inc. list Cassandra 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 Cassandra Jackson affiliated with any hospitals?

According to CMS data, Cassandra Jackson is affiliated with Avera Mckennan Hospital & University Health Center.

When was this NPI record last updated?

The NPPES record for Cassandra Jackson was last updated on May 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.