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MRS. MELANIE JACKSON PA-C
NPI 1134313364
Physician Assistant in Forest Hills, NY

Active since August 30, 2007PECOS EnrolledAccepts Medicare Assignment
10201 66TH RD, OB/GYN DEPT 3RD FLOOR, FOREST HILLS, NY 11375(718) 830-1030(718) 830-1089 Get Directions Write a Review

NPPES record last updated: September 11, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Melanie Jackson Pa-c NPPES

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

MRS. MELANIE JACKSON PA-C (NPI 1134313364) is an individual physician assistant in Forest Hills, New York, licensed in New York (003328-1) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1987).

NPPES Registry Identity

NPI1134313364
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. MELANIE JACKSONCredential: PA-C
Location Address10201 66TH RD, OB/GYN DEPT 3RD FLOORForest Hills, NY 11375-2029
Mailing Address3 Colonial RdW Hempstead, NY 11552-4113 · (516) 629-4243
Phone(718) 830-1030
Fax(718) 830-1089
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateAugust 30, 2007
Last NPPES UpdateSeptember 11, 2007
✔ NPI 1134313364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 003328-1
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
10201 66TH RD, Forest Hills, NY 11375
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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

Mrs. Melanie Jackson Pa-c 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 ID3779599964
PECOS Enrollment IDI20060224000531
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11375 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
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.

Other Providers at the Same Location NPPES 20

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

SRAVYA REDDY MUNDLA
Student in an Organized Health Care Education/Training Program
10201 66TH RD
FOREST HILLS, NY 11375
Queens County (718) 830-4352
MR. SHIVNATHAN PILLAI SA
Specialist
10201 66TH RD
FOREST HILLS, NY 11375
Queens County (718) 830-4000
DR. JOHN DEPETRILLO JR. M.D.
Internal Medicine (Critical Care Medicine)
10201 66TH RD
FOREST HILLS, NY 11375
Queens County (718) 830-4359
XIN YUN LI MD
Surgery (Vascular Surgery)
10201 66TH RD
FOREST HILLS, NY 11375
Queens County (718) 830-4093
FARHAD MOHAMMAD GAZI MD
Emergency Medicine
10201 66TH RD, MEDICAL STAFF OFFICE
FOREST HILLS, NY 11375
Queens County (718) 830-4200
ANDREA ROMMAL
Student in an Organized Health Care Education/Training Program
10201 66TH RD
FOREST HILLS, NY 11375
Queens County (718) 830-4352
MARK WANIS DO
Student in an Organized Health Care Education/Training Program
10201 66TH RD
FOREST HILLS, NY 11375
Queens County (718) 830-4352
DR. PAUL SOLODNIK M.D.
Radiology (Diagnostic Radiology)
10201 66TH RD, RADIOLOGY DEPARTMENT
FOREST HILLS, NY 11375
Queens County (952) 595-1100

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 Melanie Jackson's NPI number?

The NPI number for Melanie Jackson is 1134313364. It was assigned to this individual provider in the NPPES registry on August 30, 2007.

Where is Melanie Jackson located?

Melanie Jackson practices at 10201 66th Rd Ob/Gyn Dept 3rd Floor, Forest Hills, NY 11375. The listed phone number is (718) 830-1030.

What is Melanie Jackson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Melanie Jackson enrolled in Medicare?

Yes. Melanie 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.

When was this NPI record last updated?

The NPPES record for Melanie Jackson was last updated on September 11, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.