NIKI ROSE JACKSON MD
NPI 1083140891
Internal Medicine in League City, TX

Q: What is Niki Jackson's NPI number?

The NPI number for Niki Jackson is 1083140891. It was assigned to this individual provider in the NPPES registry on May 11, 2017.

Q: What is Niki Jackson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Niki Jackson was last updated on December 11, 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.

Active since May 11, 2017PECOS EnrolledAccepts Medicare Assignment

3032 MARINA BAY DR STE 200, LEAGUE CITY, TX 77573(832) 604-6534(832) 604-6531 Get Directions Write a Review

NPPES record last updated: December 11, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 11, 2024, Oct 5, 2023, Jan 26, 2022 and 5 more (8 updates tracked since 2017).

On this page

About Niki Rose Jackson Md NPPES

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

NIKI ROSE JACKSON MD (NPI 1083140891) is an individual internal medicine provider in League City, Texas, licensed in Texas (T4184) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, is affiliated with Hca Houston Healthcare Clear Lake, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1083140891

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameNIKI ROSE JACKSONCredential: MD

Location Address3032 MARINA BAY DR STE 200League City, TX 77573-4668

Mailing Address3032 Marina Bay Dr Ste 200League City, TX 77573-4668 · (832) 604-6534 · Fax (832) 604-6531

Phone(832) 604-6534

Fax(832) 604-6531

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 2017

Enumeration DateMay 11, 2017

Last NPPES UpdateDecember 11, 20248 updates tracked since enumeration

NPPES CertifiedDecember 11, 2024

✔ NPI 1083140891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in TX · T4184

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

3032 MARINA BAY DR STE 200, League City, TX 77573

Open in Google Maps ↗

Secondary Practice Locations 2

Location 12727 W Holcombe BlvdHouston, TX 77025-1669 · Phone (713) 442-0000

Location 21010 S Ponds DrWebster, TX 77598-1409 · Phone (713) 442-4300

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company, UnitedHealthcare.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

Niki Rose 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 ID6406125087

PECOS Enrollment IDI20220203001065

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

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

Dayal Family Medicine PA

Same address

Family Medicine

3032 MARINA BAY DR STE 200
League City, TX 77573

Reassigned Medicare billing, Texas enrollment
3 clinicians in this Medicare group

NPI 1376152538 (832) 604-6534

Kelsey-Seybold Medical Group, PLLC

24 mi

Multi-Specialty

2727 W HOLCOMBE BLVD
Houston, TX 77025

Reassigned Medicare billing, Texas enrollment
1,649 clinicians in this Medicare group

NPI 1013915255 (713) 442-0000

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

Hospital Affiliations CMS Care Compare 2

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

Hca Houston Healthcare Clear Lake

Acute Care Hospitals · Webster, TX

3/5 CMS rating

OwnershipProprietary

CMS Certification Number450617

Location500 W Medical Center BlvdWebster, TX 77598 · Harris County

Emergency services Birthing friendly

Houston Methodist Clear Lake Hospital

Acute Care Hospitals · Nassau Bay, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450709

Location18300 Houston Methodist DrNassau Bay, TX 77058 · Harris County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77573 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

$131.16 typical visit price

range $57.19 – $173.07

Typical copayment $32.79 (range $14.29 – $43.26)

Most-billed visit code 99204

Established Patient

$100.90 typical visit price

range $18.45 – $141.36

Typical copayment $25.22 (range $4.61 – $35.34)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers15 claims15 services$13.33 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers15 claims15 services$66.66 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

DAYAL FAMILY MEDICINE PA

Family Medicine

3032 MARINA BAY DR STE 200
LEAGUE CITY, TX 77573

Galveston County (832) 604-6534

MRS. GAURI DAYAL MD

Family Medicine

3032 MARINA BAY DR STE 200
LEAGUE CITY, TX 77573

Galveston County (832) 604-6534

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 Niki Jackson's NPI number?

The NPI number for Niki Jackson is 1083140891. It was assigned to this individual provider in the NPPES registry on May 11, 2017.

Where is Niki Jackson located?

Niki Jackson practices at 3032 Marina Bay Dr Ste 200, League City, TX 77573. The listed phone number is (832) 604-6534.

What is Niki Jackson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Niki Jackson enrolled in Medicare?

Yes. Niki 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 Niki Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Niki Jackson reassigns Medicare benefits to 2 organizations: Dayal Family Medicine PA (League City, TX) and Kelsey-Seybold Medical Group, PLLC (Houston, TX). 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 Niki Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Niki Jackson accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company and UnitedHealthcare list Niki 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 Niki Jackson affiliated with any hospitals?

According to CMS data, Niki Jackson is affiliated with Hca Houston Healthcare Clear Lake and Houston Methodist Clear Lake Hospital.

When was this NPI record last updated?

The NPPES record for Niki Jackson was last updated on December 11, 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.