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JOSHUA JACKSON
NPI 1093326290
Nurse Practitioner - Family in Mesa, AZ

Active since August 11, 2020PECOS Enrolled
5432 E SOUTHERN AVE STE 101B, MESA, AZ 85206(480) 999-7911 Get Directions Write a Review

NPPES record last updated: August 11, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Joshua Jackson NPPES

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

JOSHUA JACKSON (NPI 1093326290) is an individual family provider in Mesa, Arizona, licensed in Arizona (246232) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093326290
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJOSHUA JACKSON
Location Address5432 E SOUTHERN AVE STE 101BMesa, AZ 85206-2772
Mailing Address5432 E Southern Ave Ste 101bMesa, AZ 85206-2772 · (480) 999-7911
Phone(480) 999-7911
Sole ProprietorYes
Enumeration DateAugust 11, 2020
NPPES CertifiedAugust 11, 2020
✔ NPI 1093326290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AZ · 246232
5432 E SOUTHERN AVE STE 101B, Mesa, AZ 85206
Open in Google Maps ↗

Other Identifiers 1

Other246232AZ · Aprn Number

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joshua Jackson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Joshua Jackson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tec Emergency Physicians Of Arizona, LLC
4.0 mi
Emergency Care
70 S VAL VISTA DR STE A3-621
Gilbert, AZ 85296
  • Reassigned Medicare billing, Arizona enrollment
  • 263 clinicians in this Medicare group
NPI 1245772870 (480) 573-8460
Az Rehab Consultants, LLC
11 mi
Physical Medicine & Rehabilitation
6049 S COBBLESTONE ST
Gilbert, AZ 85298
  • Reassigned Medicare billing, Arizona enrollment
  • 21 clinicians in this Medicare group
NPI 1396383402 (805) 300-1464

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

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85206 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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 4

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

DR. JACOB H NELSON D.P.M.
Podiatrist (Foot & Ankle Surgery)
5432 E SOUTHERN AVE STE 101B
MESA, AZ 85206
Maricopa County (480) 210-3336
SAGEBRUSH DERMATOLOGY PLLC
Dermatology
5432 E SOUTHERN AVE STE 101B
MESA, AZ 85206
Maricopa County (480) 681-3376
MOUNTAIN VIEW FOOT & ANKLE LLC
Podiatrist (Foot & Ankle Surgery)
5432 E SOUTHERN AVE STE 101B
MESA, AZ 85206
Maricopa County (480) 210-3336
CHAO LI MD
Dermatology
5432 E SOUTHERN AVE STE 101B
MESA, AZ 85206
Maricopa County (480) 681-3376

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 Joshua Jackson's NPI number?

The NPI number for Joshua Jackson is 1093326290. It was assigned to this individual provider in the NPPES registry on August 11, 2020.

Where is Joshua Jackson located?

Joshua Jackson practices at 5432 E Southern Ave Ste 101B, Mesa, AZ 85206. The listed phone number is (480) 999-7911.

What is Joshua Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Joshua Jackson enrolled in Medicare?

Yes. Joshua Jackson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Joshua Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joshua Jackson reassigns Medicare benefits to 2 organizations: Tec Emergency Physicians Of Arizona, LLC (Gilbert, AZ) and Az Rehab Consultants, LLC (Gilbert, AZ). 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 Joshua 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 Joshua Jackson was last updated on August 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.