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ALISHA JACKSON NP
NPI 1083386353
Nurse Practitioner in Lansing, MI

Active since October 04, 2021PECOS EnrolledAccepts Medicare Assignment
120 N WASHINGTON SQ, LANSING, MI 48933(517) 258-0102 Get Directions Write a Review

NPPES record last updated: July 11, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 11, 2023, Oct 4, 2021 (2 updates tracked since 2021).

About Alisha Jackson Np NPPES

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

ALISHA JACKSON NP (NPI 1083386353) is an individual nurse practitioner in Lansing, Michigan, licensed in Michigan (4704314307) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS and is a graduate of Georgetown University School Of Medicine (2021).

NPPES Registry Identity

NPI1083386353
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameALISHA JACKSONCredential: NP
Location Address120 N WASHINGTON SQLansing, MI 48933-1617
Mailing Address120 N Washington SqLansing, MI 48933-1617
Phone(517) 258-0102
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 2021
Enumeration DateOctober 4, 2021
Last NPPES UpdateJuly 11, 20232 updates tracked since enumeration
NPPES CertifiedJuly 11, 2023
✔ NPI 1083386353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MI · 4704314307
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
120 N WASHINGTON SQ, Lansing, MI 48933
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.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

Alisha Jackson Np 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 ID5395199871
PECOS Enrollment IDI20231003000467
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

6

Medicare enrollment records show Alisha Jackson reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Med Clubs
5.8 mi
Family Medicine
2575 HUMMINGBIRD DR
Holt, MI 48842
  • Reassigned Medicare billing, Michigan enrollment
  • 2 clinicians in this Medicare group
NPI 1184238966 (517) 258-0344
Salzac Medical Group PC
68 mi
Family Medicine
21701 W 11 MILE RD STE 5
Southfield, MI 48076
  • Reassigned Medicare billing, Michigan enrollment
  • 3 clinicians in this Medicare group
NPI 1679421283 (248) 569-7550
Vitality Visiting Physicians, PLLC
68 mi
General Practice
29217 FORD RD STE 109
Garden City, MI 48135
  • Reassigned Medicare billing, Michigan enrollment
  • 19 clinicians in this Medicare group
NPI 1073230876 (248) 862-5311
Laz Medical Group PC
72 mi
Hospice and Palliative Medicine
20755 GREENFIELD RD, #1101
Southfield, MI 48075
  • Reassigned Medicare billing, Michigan enrollment
  • 16 clinicians in this Medicare group
NPI 1053310128 (248) 569-7550
Senior Care Health Group PLLC
81 mi
Internal Medicine
4100 WOODWARD AVE
Detroit, MI 48201
  • Reassigned Medicare billing, Michigan enrollment
  • 18 clinicians in this Medicare group
NPI 1902794571 (313) 974-6533
Mimwc,inc
  • Reassigned Medicare billing, Michigan enrollment
  • 10 clinicians in this Medicare group
No phone listed

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48933 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 Alisha Jackson's NPI number?

The NPI number for Alisha Jackson is 1083386353. It was assigned to this individual provider in the NPPES registry on October 4, 2021.

Where is Alisha Jackson located?

Alisha Jackson practices at 120 N Washington Sq, Lansing, MI 48933. The listed phone number is (517) 258-0102.

What is Alisha Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Alisha Jackson enrolled in Medicare?

Yes. Alisha 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 Alisha Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alisha Jackson reassigns Medicare benefits to 6 organizations: Med Clubs (Holt, MI), Salzac Medical Group PC (Southfield, MI), Vitality Visiting Physicians, PLLC (Garden City, MI), Laz Medical Group PC (Southfield, MI), Senior Care Health Group PLLC (Detroit, MI) and 1 more organization, listed in the Medicare section above. 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 Alisha Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alisha Jackson accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Alisha 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.

When was this NPI record last updated?

The NPPES record for Alisha Jackson was last updated on July 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.