ILANA JACKSON PSYD
NPI 1104198522
Psychologist - Clinical in Baltimore, MD
About Ilana Jackson Psyd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ILANA JACKSON PSYD (NPI 1104198522) is an individual clinical provider in Baltimore, Maryland, licensed in Maryland (05059) and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
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
Ilana Jackson Psyd 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
2Medicare enrollment records show Ilana Jackson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Baltimore, MD 21204
- Reassigned Medicare billing, Maryland enrollment
- Medicare enrollment name: Sheppard Pratt Physicians PA
- 187 clinicians in this Medicare group
Towson, MD 21204
- Reassigned Medicare billing, Maryland enrollment
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 2
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 21209 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.
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 Ilana Jackson's NPI number?
The NPI number for Ilana Jackson is 1104198522. It was assigned to this individual provider in the NPPES registry on January 31, 2012.
Where is Ilana Jackson located?
Ilana Jackson practices at 1 Sunny Meadow Ct Apt 102, Baltimore, MD 21209. The listed phone number is (908) 839-7117.
What is Ilana Jackson's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Ilana Jackson enrolled in Medicare?
Yes. Ilana 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 Ilana Jackson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ilana Jackson reassigns Medicare benefits to 2 organizations: Sheppard Pratt Physicians, P.A. (Baltimore, MD) and Jackson Therapy Services LLC (Towson, MD). 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 Ilana 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 Ilana Jackson was last updated on October 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Ilana Jackson, PSYD · NPI 1104198522
Clinical provider in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since January 31, 2012.
## Identity
- **NPI:** 1104198522 (Entity type: Individual)
- **Enumerated:** January 31, 2012
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 05059 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1 SUNNY MEADOW CT, APT 102, Baltimore, MD 21209-1255
- **Phone:** (908) 839-7117
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Sheppard Pratt Physicians, P.A. (NPI 1518990712, Baltimore, MD); Jackson Therapy Services LLC (NPI 1669921193, Towson, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** October 10, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1104198522) · Data from the CMS NPPES public registry.