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

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: July 26, 2026.

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

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
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

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

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

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.

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.

Family Medicine
3032 MARINA BAY DR STE 200
LEAGUE CITY, TX 77573
Family Medicine
3032 MARINA BAY DR STE 200
LEAGUE CITY, TX 77573

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.

What insurance does Niki Jackson accept?

Health plans from Blue Cross and Blue Shield of Texas 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 with the weekly NPPES data releases published by CMS.