AMANDA JACKSON DC
NPI 1215657242
Chiropractor in Desoto, TX

Q: What is Amanda Jackson's NPI number?

The NPI number for Amanda Jackson is 1215657242. It was assigned to this individual provider in the NPPES registry on August 30, 2022.

Q: What is Amanda Jackson's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Jackson was last updated on August 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since August 30, 2022PECOS EnrolledAccepts Medicare Assignment

911 YORK DR, DESOTO, TX 75115(512) 897-4110 Get Directions Write a Review

NPPES record last updated: August 30, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Amanda Jackson Dc NPPES

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

AMANDA JACKSON DC (NPI 1215657242) is an individual chiropractor in Desoto, Texas, licensed in Texas (15264) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1215657242

Entity TypeIndividualFemale

Primary Taxonomy111N00000X

Provider Legal NameAMANDA JACKSONCredential: DC

Location Address911 YORK DRDesoto, TX 75115-2063

Mailing Address805 Evergreen CtKeller, TX 76248-3281 · (512) 897-4110

Phone(512) 897-4110

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateAugust 30, 2022

NPPES CertifiedAugust 30, 2022

✔ NPI 1215657242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in TX · 15264

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

911 YORK DR, Desoto, TX 75115

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Amanda Jackson Dc 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 ID4688101678

PECOS Enrollment IDI20250103000594

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.

Medicare Billing Reassignment

Medicare enrollment records show Amanda Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Portland Chiropractic Neurology, LLC

1,626 mi

Neurology

959 CONGRESS ST, SUITE 1
Portland, ME 04102

Reassigned Medicare billing, Maine enrollment
12 clinicians in this Medicare group

NPI 1780856336 (207) 699-5600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Amanda Jackson's NPI number?

The NPI number for Amanda Jackson is 1215657242. It was assigned to this individual provider in the NPPES registry on August 30, 2022.

Where is Amanda Jackson located?

Amanda Jackson practices at 911 York Dr, Desoto, TX 75115. The listed phone number is (512) 897-4110.

What is Amanda Jackson's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Amanda Jackson enrolled in Medicare?

Yes. Amanda 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 organization bills Medicare for Amanda Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Jackson reassigns Medicare benefits to Portland Chiropractic Neurology, LLC (Portland, ME). The 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 Amanda Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amanda Jackson accept?

Health plans from Anthem Blue Cross and Blue Shield list Amanda 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.

When was this NPI record last updated?

The NPPES record for Amanda Jackson was last updated on August 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.