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DORINDA JACKSON
NPI 1083179782
Nurse Practitioner - Obstetrics & Gynecology in Hershey, PA

Active since February 06, 2019PECOS EnrolledAccepts Medicare Assignment
35 HOPE DR STE 202204, HERSHEY, PA 17033(717) 315-3503(717) 531-4375 Get Directions Write a Review

NPPES record last updated: May 24, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 24, 2022, Feb 6, 2019 (2 updates tracked since 2019).

About Dorinda Jackson NPPES

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

DORINDA JACKSON (NPI 1083179782) is an individual obstetrics & gynecology provider in Hershey, Pennsylvania, licensed in Pennsylvania (SP019770) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS, is affiliated with Penn State Health St. Joseph, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1083179782
Entity TypeIndividualFemale
Primary Taxonomy363LX0001X
Provider Legal NameDORINDA JACKSON
Location Address35 HOPE DR STE 202204Hershey, PA 17033-2008
Mailing Address500 University Drive, Mc Ca410Hershey, PA 17033-2433 · (717) 531-3503 · Fax (717) 531-4375
Phone(717) 315-3503
Fax(717) 531-4375
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 6, 2019
Last NPPES UpdateMay 24, 20222 updates tracked since enumeration
NPPES CertifiedMay 24, 2022
✔ NPI 1083179782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Obstetrics & GynecologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LX0001X
License✔ Licensed in PA · SP019770
35 HOPE DR STE 202204, Hershey, PA 17033
Open in Google Maps ↗

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

Dorinda Jackson 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 ID749520831
PECOS Enrollment IDI20190328000358
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 Dorinda Jackson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Milton S Hershey Medical Center Physicians Group
0.2 mi
Pediatrics
35 HOPE DR
Hershey, PA 17033
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2,216 clinicians in this Medicare group
NPI 1205801537 (800) 243-1455
Penn State Health Medical Group, LLC
0.7 mi
Family Medicine
100 CRYSTAL A DR
Hershey, PA 17033
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 994 clinicians in this Medicare group
NPI 1457110793 (833) 774-3627

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 3

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

Penn State Health St. Joseph

Acute Care Hospitals · Reading, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390096
Location2500 Bernville RoadReading, PA 19605 · Berks County
Emergency services Birthing friendly

Milton S Hershey Medical Center

Acute Care Hospitals · Hershey, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390256
Location500 University DriveHershey, PA 17033 · Dauphin County
Emergency services Birthing friendly

Penn State Health Lancaster Medical Center

Acute Care Hospitals · Lancaster, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390339
Location2160 State RoadLancaster, PA 17601 · Lancaster County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17033 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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 5

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

KRISTIN A RILEY MD
Obstetrics & Gynecology
35 HOPE DR STE 202204
HERSHEY, PA 17033
Dauphin County (717) 531-3503
DR. TAFFY A ANDERSON MD
Obstetrics & Gynecology
35 HOPE DR STE 202204
HERSHEY, PA 17033
Dauphin County (717) 531-3503
LANDI ELIZABETH ANNIBALI-EICHELBERGER CRNP
Nurse Practitioner (Women's Health)
35 HOPE DR STE 202204
HERSHEY, PA 17033
Dauphin County (717) 531-3503
CHRISTA M BAMBURG CNM
Advanced Practice Midwife
35 HOPE DR STE 202204
HERSHEY, PA 17033
Dauphin County (800) 243-1455
DR. KEVIN A. AULT M.D.
Obstetrics & Gynecology
35 HOPE DR STE 202204
HERSHEY, PA 17033
Dauphin County (800) 243-1455

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 Dorinda Jackson's NPI number?

The NPI number for Dorinda Jackson is 1083179782. It was assigned to this individual provider in the NPPES registry on February 6, 2019.

Where is Dorinda Jackson located?

Dorinda Jackson practices at 35 Hope Dr Ste 202204, Hershey, PA 17033. The listed phone number is (717) 315-3503.

What is Dorinda Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Obstetrics & Gynecology, with taxonomy code 363LX0001X.

Is Dorinda Jackson enrolled in Medicare?

Yes. Dorinda 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 Dorinda Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dorinda Jackson reassigns Medicare benefits to 2 organizations: The Milton S Hershey Medical Center Physicians Group (Hershey, PA) and Penn State Health Medical Group, LLC (Hershey, PA). 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 Dorinda Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Dorinda Jackson affiliated with any hospitals?

According to CMS data, Dorinda Jackson is affiliated with Penn State Health St. Joseph, Milton S Hershey Medical Center and Penn State Health Lancaster Medical Center.

When was this NPI record last updated?

The NPPES record for Dorinda Jackson was last updated on May 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.