SIEW JACKSON
NPI 1174212336
Nurse Practitioner - Family in Waldwick, NJ
About Siew Jackson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SIEW JACKSON (NPI 1174212336) is an individual family provider in Waldwick, New Jersey, licensed in New Jersey (26NJ14863400) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS, is affiliated with Englewood Hospital And Medical Center, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
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
Siew 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.
Medicare Billing Reassignments
3Medicare enrollment records show Siew Jackson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Paramus, NJ 07652
- Reassigned Medicare billing, New Jersey enrollment
- 833 clinicians in this Medicare group
Wayne, NJ 07470
- Reassigned Medicare billing, New Jersey enrollment
- 33 clinicians in this Medicare group
Jersey City, NJ 07306
- Reassigned Medicare billing, New Jersey enrollment
- 121 clinicians in this Medicare group
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 3
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Englewood Hospital And Medical Center
Acute Care Hospitals · Englewood, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07463 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Siew Jackson's NPI number?
The NPI number for Siew Jackson is 1174212336. It was assigned to this individual provider in the NPPES registry on May 3, 2023.
Where is Siew Jackson located?
Siew Jackson practices at 140 Franklin Tpke Ste 6A, Waldwick, NJ 07463. The listed phone number is (201) 447-3603.
What is Siew Jackson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Siew Jackson enrolled in Medicare?
Yes. Siew 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 Siew Jackson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Siew Jackson reassigns Medicare benefits to 3 organizations: Valley Physician Services PC (Paramus, NJ), Bridgecare Provider Group LLC (Wayne, NJ) and Physician Partners Of Englewood, PC (Jersey City, NJ). 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 Siew Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Siew Jackson accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Siew 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 Siew Jackson affiliated with any hospitals?
According to CMS data, Siew Jackson is affiliated with Englewood Hospital And Medical Center.
When was this NPI record last updated?
The NPPES record for Siew Jackson was last updated on March 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Siew Jackson · NPI 1174212336
Family physician in Waldwick, New Jersey. Individual provider, active in the CMS NPPES registry since May 3, 2023.
## Identity
- **NPI:** 1174212336 (Entity type: Individual)
- **Enumerated:** May 3, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 26NJ14863400 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 140 FRANKLIN TPKE STE 6A, Waldwick, NJ 07463-1836
- **Phone:** (201) 447-3603
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Valley Physician Services PC (NPI 1467815928, Paramus, NJ); Bridgecare Provider Group LLC (NPI 1164148672, Wayne, NJ); Physician Partners Of Englewood, PC (NPI 1154671501, Jersey City, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** March 12, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1174212336) · Data from the CMS NPPES public registry.