MICHAELA JACKSON PA-C
NPI 1194419713
Physician Assistant in Boston, MA

Active since June 06, 2023PECOS EnrolledAccepts Medicare Assignment
800 WASHINGTON ST, BOSTON, MA 02111(617) 636-6317 Get Directions Write a Review

NPPES record last updated: July 24, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 24, 2023, Jul 23, 2023, Jun 6, 2023 (3 updates tracked since 2023).

About Michaela Jackson Pa-c NPPES

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

MICHAELA JACKSON PA-C (NPI 1194419713) is an individual physician assistant in Boston, Massachusetts and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS, is affiliated with Nyu Langone Hospitals, and maintains a secondary practice location in Laguna Niguel.

NPPES Registry Identity

NPI1194419713
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMICHAELA JACKSONCredential: PA-C
Location Address800 WASHINGTON STBoston, MA 02111-1552
Mailing Address3 E ShoreLaguna Niguel, CA 92677-4241 · (949) 275-7909
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJune 6, 2023
Last NPPES UpdateJuly 24, 20233 updates tracked since enumeration
NPPES CertifiedJuly 24, 2023
NPI 1194419713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.

800 WASHINGTON ST, Boston, MA 02111

Secondary Practice Location 1

Location 13 E ShoreLaguna Niguel, CA 92677-4241 · Phone (949) 275-7909

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

Michaela 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 ID7113380494
PECOS Enrollment IDI20241230001037
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.

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330214
Location550 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02111 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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.

Internal Medicine
800 WASHINGTON ST, BOX 63
BOSTON, MA 02111
Psychiatry & Neurology (Psychosomatic Medicine)
800 WASHINGTON ST, TUFTS MEDICAL CENTER BOX 1007
BOSTON, MA 02111
Pediatrics
800 WASHINGTON ST, DEPT. OF PEDIATRICS
BOSTON, MA 02111
Psychiatry & Neurology (Neurology)
800 WASHINGTON ST, #314
BOSTON, MA 02111
Pathology (Clinical Pathology/Laboratory Medicine)
800 WASHINGTON ST, BOX 115
BOSTON, MA 02111
Nurse Practitioner
800 WASHINGTON ST, GI LIVER GROUP P.C.TUFTS MEDICAL CENTER
BOSTON, MA 02111
Pediatrics (Developmental - Behavioral Pediatrics)
800 WASHINGTON ST, BOX 334
BOSTON, MA 02111
Pediatrics
800 WASHINGTON ST, BOX 286 DEPT. OF PEDIATRICS
BOSTON, MA 02111

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 Michaela Jackson's NPI number?

The NPI number for Michaela Jackson is 1194419713. It was assigned to this individual provider in the NPPES registry on June 6, 2023.

Where is Michaela Jackson located?

Michaela Jackson practices at 800 Washington St, Boston, MA 02111. The listed phone number is (617) 636-6317.

What is Michaela Jackson's specialty?

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

Is Michaela Jackson enrolled in Medicare?

Yes. Michaela 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.

Is Michaela Jackson affiliated with any hospitals?

According to CMS data, Michaela Jackson is affiliated with Nyu Langone Hospitals.

When was this NPI record last updated?

The NPPES record for Michaela Jackson was last updated on July 24, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.