JACKSON DUANE LAW DPM
NPI 1114507795
Podiatrist - Foot & Ankle Surgery in Enterprise, OR

Active since April 08, 2021PECOS EnrolledAccepts Medicare Assignment
601 MEDICAL PKWY, ENTERPRISE, OR 97828(541) 426-3111 Get Directions Write a Review

NPPES record last updated: November 5, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 5, 2024, Apr 8, 2021 (2 updates tracked since 2021).

About Jackson Duane Law Dpm NPPES

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

JACKSON DUANE LAW DPM (NPI 1114507795) is an individual foot & ankle surgery provider in Enterprise, Oregon, licensed in Oregon (221041) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Wallowa Memorial Hospital, and is a graduate of Arizona Podiatric Med Program At Midwestern Un (2021).

NPPES Registry Identity

NPI1114507795
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameJACKSON DUANE LAWCredential: DPM
Location Address601 MEDICAL PKWYEnterprise, OR 97828-5124
Mailing Address911 Hamel DrEnterprise, OR 97828-1437 · (480) 861-3804
Sole ProprietorYes
Medical School CMSArizona Podiatric Med Program At Midwestern UnGraduated 2021
Enumeration DateApril 8, 2021
Last NPPES UpdateNovember 5, 20242 updates tracked since enumeration
NPPES CertifiedNovember 5, 2024
NPI 1114507795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in OR · 221041
601 MEDICAL PKWY, Enterprise, OR 97828

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jackson Duane Law Dpm 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 ID9234662537
PECOS Enrollment IDI20241024003755
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wallowa Memorial Hospital

Critical Access Hospitals · Enterprise, OR
OwnershipGovernment - Hospital District or Authority
CMS Certification Number381306
Location601 Medical ParkwayEnterprise, OR 97828 · Wallowa County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 5

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

Physician Assistant
601 MEDICAL PKWY
ENTERPRISE, OR 97828
Case Manager/Care Coordinator
601 MEDICAL PKWY
ENTERPRISE, OR 97828
Registered Nurse
601 MEDICAL PKWY
ENTERPRISE, OR 97828
Case Manager/Care Coordinator
601 MEDICAL PKWY
ENTERPRISE, OR 97828
Orthopaedic Surgery
601 MEDICAL PKWY
ENTERPRISE, OR 97828

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 Jackson Law's NPI number?

The NPI number for Jackson Law is 1114507795. It was assigned to this individual provider in the NPPES registry on April 8, 2021.

Where is Jackson Law located?

Jackson Law practices at 601 Medical Pkwy, Enterprise, OR 97828. The listed phone number is (541) 426-3111.

What is Jackson Law's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Jackson Law enrolled in Medicare?

Yes. Jackson Law 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.

What insurance does Jackson Law accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Jackson Law 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.

Is Jackson Law affiliated with any hospitals?

According to CMS data, Jackson Law is affiliated with Wallowa Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Jackson Law was last updated on November 5, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.