SHAWN D. JACKSON
NPI 1225391352
Nurse Practitioner - Family in Philadelphia, PA

Q: What is Shawn Jackson's NPI number?

The NPI number for Shawn Jackson is 1225391352. It was assigned to this individual provider in the NPPES registry on June 22, 2012.

Q: What is Shawn Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Shawn Jackson was last updated on October 7, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 22, 2012PECOS EnrolledAccepts Medicare Assignment

125 S 9TH ST, PHILADELPHIA, PA 19107(215) 592-4500 Get Directions Write a Review

NPPES record last updated: October 7, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Shawn D. Jackson NPPES

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

SHAWN D. JACKSON (NPI 1225391352) is an individual family provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP012047) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS, is affiliated with Wills Eye Hospital, and is a graduate of Temple University School Of Medicine (2018).

NPPES Registry Identity

NPI1225391352

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSHAWN D. JACKSON

Location Address125 S 9TH STPhiladelphia, PA 19107-5125

Mailing Address7515 Stenton AvePhiladelphia, PA 19150-3710 · (215) 842-5246 · Fax (215) 550-0501

Phone(215) 592-4500

Sole ProprietorNo

Medical School CMSTemple University School Of MedicineGraduated 2018

Enumeration DateJune 22, 2012

Last NPPES UpdateOctober 7, 2021

NPPES CertifiedOctober 7, 2021

✔ NPI 1225391352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in PA · SP012047

125 S 9TH ST, Philadelphia, PA 19107

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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

Shawn D. 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 ID7214159664

PECOS Enrollment IDI20241112003202

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.

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

53 services21 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

27 services27 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

19 services19 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wills Eye Hospital

Acute Care Hospitals · Philadelphia, PA

OwnershipVoluntary non-profit - Private

CMS Certification Number390331

Location840 Walnut StreetPhiladelphia, PA 19107 · Philadelphia County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 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

$92.69 typical visit price

range $59.88 – $180.99

Typical copayment $23.17 (range $14.97 – $45.24)

Most-billed visit code 99203

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

4 suppliers12 claims20 services$5.60 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

JOHANNA TROY

Nurse Practitioner (Primary Care)