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OLIVIA JACKSON
NPI 1154944791
Physician Assistant in New York, NY

Active since May 18, 2020PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
570 LEXINGTON AVE FL 9, NEW YORK, NY 10022(164) 696-2727 Get Directions Write a Review

NPPES record last updated: March 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 23, 2023, May 18, 2020 (2 updates tracked since 2020).

About Olivia Jackson NPPES

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

OLIVIA JACKSON (NPI 1154944791) is an individual physician assistant in New York, New York, licensed in Utah (12941328-1206) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, is affiliated with Intermountain Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1154944791
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameOLIVIA JACKSON
Location Address570 LEXINGTON AVE FL 9New York, NY 10022-6710
Mailing Address570 Lexington Ave Fl 9New York, NY 10022-6710 · (164) 696-2727
Phone(164) 696-2727
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMay 18, 2020
Last NPPES UpdateMarch 23, 20232 updates tracked since enumeration
NPPES CertifiedMarch 23, 2023
✔ NPI 1154944791 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 UT · 12941328-1206
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.
570 LEXINGTON AVE FL 9, New York, NY 10022
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.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

Olivia Jackson 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 ID9537558911
PECOS Enrollment IDI20231012001858, I20251211001983
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.

Intermountain Medical Center

Acute Care Hospitals · Murray, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460010
Location5121 South Cottonwood StreetMurray, UT 84107 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10022 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 17

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

REBECCA A MILLER
Physician Assistant
570 LEXINGTON AVE FL 9
NEW YORK, NY 10022
New York County (646) 962-7277
AMY LEFLEY PA-C
Physician Assistant
570 LEXINGTON AVE FL 9
NEW YORK, NY 10022
New York County (646) 962-7277
COLLEEN MARIE LAWRENZ
Student in an Organized Health Care Education/Training Program
570 LEXINGTON AVE FL 9
NEW YORK, NY 10022
New York County (646) 962-7277
CHARISHMA KASIPATHI
Student in an Organized Health Care Education/Training Program
570 LEXINGTON AVE FL 9
NEW YORK, NY 10022
New York County (646) 962-7277
MR. TYLER BROWN
Physician Assistant (Surgical)
570 LEXINGTON AVE FL 9
NEW YORK, NY 10022
New York County (646) 962-7277
CHRISTINE FANG CHEN
Physician Assistant
570 LEXINGTON AVE FL 9
NEW YORK, NY 10022
New York County (646) 962-7277
JASON CALCAGNO
Student in an Organized Health Care Education/Training Program
570 LEXINGTON AVE FL 9
NEW YORK, NY 10022
New York County (646) 962-7277
JESSICA SU
Physician Assistant
570 LEXINGTON AVE FL 9
NEW YORK, NY 10022
New York County (646) 962-7277

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 Olivia Jackson's NPI number?

The NPI number for Olivia Jackson is 1154944791. It was assigned to this individual provider in the NPPES registry on May 18, 2020.

Where is Olivia Jackson located?

Olivia Jackson practices at 570 Lexington Ave Fl 9, New York, NY 10022. The listed phone number is (164) 696-2727.

What is Olivia Jackson's specialty?

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

Is Olivia Jackson enrolled in Medicare?

Yes. Olivia 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.

What insurance does Olivia Jackson accept?

Health plans from Select Health list Olivia Jackson 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 Olivia Jackson affiliated with any hospitals?

According to CMS data, Olivia Jackson is affiliated with Intermountain Medical Center.

When was this NPI record last updated?

The NPPES record for Olivia Jackson was last updated on March 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.