DR. CONSTANCE JANENE JACKSON MD
NPI 1083703391
Psychiatry & Neurology - Psychiatry in Portland, OR

Active since October 12, 2006Opted out of Medicare · through Apr 1, 2027
4800 SW MACADAM AVE, SUITE 350, PORTLAND, OR 97239(503) 297-6656(503) 297-5779 Get Directions Write a Review

NPPES record last updated: November 4, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Constance Janene Jackson Md NPPES

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

DR. CONSTANCE JANENE JACKSON MD (NPI 1083703391) is an individual psychiatry provider in Portland, Oregon, licensed in Oregon (MD18409) and active in the NPI registry since October 2006. She has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1083703391
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. CONSTANCE JANENE JACKSONCredential: MD
Location Address4800 SW MACADAM AVE, SUITE 350Portland, OR 97239-3925
Mailing Address3439 Ne Sandy Blvd, Pmb 375Portland, OR 97232-1959 · (503) 284-8841 · Fax (503) 282-3302
Fax(503) 297-5779
Sole ProprietorYes
Enumeration DateOctober 12, 2006
Last NPPES UpdateNovember 4, 2011
NPI 1083703391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in OR · MD18409
Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

4800 SW MACADAM AVE, Portland, OR 97239

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Constance Janene Jackson Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2015 through April 1, 2027.

Opt-Out Effective DateApril 1, 2015
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97239 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
$176.88 typical visit price
range $58.99 – $176.88
Typical copayment $44.22 (range $14.74 – $44.22)
Most-billed visit code 99205
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
Most-billed visit code 99213
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 Constance Jackson's NPI number?

The NPI number for Constance Jackson is 1083703391. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Constance Jackson located?

Constance Jackson practices at 4800 SW Macadam Ave Suite 350, Portland, OR 97239. The listed phone number is (503) 297-6656.

What is Constance Jackson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Constance Jackson enrolled in Medicare?

No. Constance Jackson has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Constance Jackson accept?

Health plans from Moda Health Plan, Inc. list Constance 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 Constance Jackson was last updated on November 4, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.