MS. MICHELLE JACKSON NP
NPI 1093023509
Nurse Practitioner in San Diego, CA
About Ms. Michelle Jackson Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. MICHELLE JACKSON NP (NPI 1093023509) is an individual nurse practitioner in San Diego, California, licensed in California (21621) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses 2
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
Ms. Michelle 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.
Medicare Billing Reassignments
4Medicare enrollment records show Michelle Jackson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Diego, CA 92111
- Reassigned Medicare billing, California enrollment
- 1,233 clinicians in this Medicare group
San Diego, CA 92130
- Reassigned Medicare billing, California enrollment
- 8 clinicians in this Medicare group
Carlsbad, CA 92008
- Reassigned Medicare billing, California enrollment
- 223 clinicians in this Medicare group
New York, NY 10022
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Daniel Funsch Jr MD Professional Corporation
- 40 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIEGO, CA 92105
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 Michelle Jackson's NPI number?
The NPI number for Michelle Jackson is 1093023509. It was assigned to this individual provider in the NPPES registry on September 17, 2010.
Where is Michelle Jackson located?
Michelle Jackson practices at 5434 Olive St Unit A, San Diego, CA 92105. The listed phone number is (619) 840-9440.
What is Michelle Jackson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Michelle Jackson enrolled in Medicare?
Yes. Michelle 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 Michelle Jackson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Jackson reassigns Medicare benefits to 4 organizations: Sharp Rees-Stealy Medical Group, Inc (San Diego, CA), Myezmed (San Diego, CA), Memory Check Psychological Services, A Professional Corporation (Carlsbad, CA) and Daniel Funsch Jr, M.D., Professional Corporation (New York, NY). 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 Michelle Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Michelle Jackson was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Ms. Michelle Jackson, NP · NPI 1093023509
Nurse Practitioner physician in San Diego, California. Individual provider, active in the CMS NPPES registry since September 17, 2010.
## Identity
- **NPI:** 1093023509 (Entity type: Individual)
- **Enumerated:** September 17, 2010
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 21621 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 5434 OLIVE ST UNIT A, San Diego, CA 92105-5054
- **Phone:** (619) 840-9440
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Sharp Rees-Stealy Medical Group, Inc (NPI 1285616177, San Diego, CA); Myezmed (NPI 1982441341, San Diego, CA); Memory Check Psychological Services, A Professional Corporation (NPI 1912184219, Carlsbad, CA); Daniel Funsch Jr, M.D., Professional Corporation (NPI 1376389163, New York, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** April 7, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1093023509) · Data from the CMS NPPES public registry.