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POPPY CHRISTINA JACKSON DNP, AGPCNP-BC
NPI 1073288122
Nurse Practitioner - Adult Health in New York, NY

Active since August 11, 2021PECOS Enrolled
325 W 15TH ST STE A, NEW YORK, NY 10011(212) 604-6059 Get Directions Write a Review

NPPES record last updated: October 23, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 20, 2022, Aug 11, 2021 (2 updates tracked since 2021).

About Poppy Christina Jackson Dnp, Agpcnp-bc NPPES

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

POPPY CHRISTINA JACKSON DNP, AGPCNP-BC (NPI 1073288122) is an individual adult health provider in New York, New York, licensed in New York (310258) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073288122
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NamePOPPY CHRISTINA JACKSONCredential: DNP, AGPCNP-BC
Location Address325 W 15TH ST STE ANew York, NY 10011-5903
Mailing Address325 W 15th St Ste ANew York, NY 10011-5903 · (212) 604-6059 · Fax (646) 537-9251
Phone(212) 604-6059
Sole ProprietorNo
Enumeration DateAugust 11, 2021
Last NPPES UpdateOctober 23, 20252 updates tracked since enumeration
NPPES CertifiedOctober 23, 2025
✔ NPI 1073288122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · 310258
325 W 15TH ST STE A, New York, NY 10011
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Poppy Christina Jackson Dnp, Agpcnp-bc 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 Reassignments

2

Medicare enrollment records show Poppy Jackson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Icahn School Of Medicine At Mount Sinai
1.1 mi
Pediatrics
500 7TH AVE FL 8
New York, NY 10018
  • Reassigned Medicare billing, New York enrollment
  • 345 clinicians in this Medicare group
NPI 1275802811 (212) 731-7895
Trustees Of Columbia University In The City Of New York
7.7 mi
Anesthesiology
622 W 168TH ST
New York, NY 10032
  • Reassigned Medicare billing, New York enrollment
  • 3,922 clinicians in this Medicare group
NPI 1477068971 (212) 305-9876

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 3

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.

Test to measure rate of airflow 94375
This test, known as spirometry, measures how much air you can breathe in and out, and how quickly you can do so. It helps assess your lung function and can be used to diagnose or monitor conditions like asthma or COPD.
15 services15 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
13 services12 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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10011 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

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 Poppy Jackson's NPI number?

The NPI number for Poppy Jackson is 1073288122. It was assigned to this individual provider in the NPPES registry on August 11, 2021.

Where is Poppy Jackson located?

Poppy Jackson practices at 325 W 15th St Ste A, New York, NY 10011. The listed phone number is (212) 604-6059.

What is Poppy Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Poppy Jackson enrolled in Medicare?

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

Which organizations bill Medicare for Poppy Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Poppy Jackson reassigns Medicare benefits to 2 organizations: Icahn School Of Medicine At Mount Sinai (New York, NY) and Trustees Of Columbia University In The City Of New York (New York, NY). 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 Poppy Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Poppy Jackson was last updated on October 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.