NICOLE JACKMAN MD,PHD
NPI 1225371578
Anesthesiology in San Francisco, CA
About Nicole Jackman Md,phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE JACKMAN MD,PHD (NPI 1225371578) is an individual anesthesiology provider in San Francisco, California, licensed in California (A136030) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Francisco, and is a graduate of University Of Connecticut School Of Medicine (2013).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Nicole Jackman Md,phd 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
2Medicare enrollment records show Nicole Jackman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Shelton, CT 06484
- Reassigned Medicare billing, Connecticut enrollment
- 727 clinicians in this Medicare group
Middletown, CT 06457
- Reassigned Medicare billing, Connecticut enrollment
- 88 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 4
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.
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.
SAN FRANCISCO, CA 94109
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 Nicole Jackman's NPI number?
The NPI number for Nicole Jackman is 1225371578. It was assigned to this individual provider in the NPPES registry on April 4, 2013.
Where is Nicole Jackman located?
Nicole Jackman practices at 900 Hyde St, San Francisco, CA 94109. The listed phone number is (510) 666-0854.
What is Nicole Jackman's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Nicole Jackman enrolled in Medicare?
Yes. Nicole Jackman 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 Nicole Jackman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Jackman reassigns Medicare benefits to 2 organizations: Integrated Anesthesia Associates LLC (Shelton, CT) and Anesthesiologists Of Middletown, P.C. (Middletown, CT). 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 Nicole Jackman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Nicole Jackman was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Nicole Jackman, MD,PHD · NPI 1225371578
Anesthesiology physician in San Francisco, California. Individual provider, active in the CMS NPPES registry since April 4, 2013.
## Identity
- **NPI:** 1225371578 (Entity type: Individual)
- **Enumerated:** April 4, 2013
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** A136030 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 900 HYDE ST, San Francisco, CA 94109-4806
- **Phone:** (510) 666-0854
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Integrated Anesthesia Associates LLC (NPI 1881636397, Shelton, CT); Anesthesiologists Of Middletown, P.C. (NPI 1851317135, Middletown, CT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Connecticut School Of Medicine, class of 2013
## Record status
- **NPPES last updated:** March 17, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1225371578) · Data from the CMS NPPES public registry.