LASHAWNNA CHANEL JACKSON
NPI 1225790447
Nurse Practitioner - Family in Chicago, IL

Active since October 06, 2021PECOS EnrolledAccepts Medicare Assignment
6307 S STEWART AVE STE 205, CHICAGO, IL 60621(773) 868-6824 Get Directions Write a Review

NPPES record last updated: June 8, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 8, 2025, Sep 6, 2023, Jul 26, 2023 and 2 more (5 updates tracked since 2021).

About Lashawnna Chanel Jackson NPPES

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

LASHAWNNA CHANEL JACKSON (NPI 1225790447) is an individual family provider in Chicago, Illinois, licensed in Illinois (277003168) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Chicago, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1225790447
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLASHAWNNA CHANEL JACKSON
Location Address6307 S STEWART AVE STE 205Chicago, IL 60621-3116
Mailing Address1044 N Francisco Ave Ste 404Chicago, IL 60622-2743 · (773) 868-6824
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 6, 2021
Last NPPES UpdateJune 8, 20255 updates tracked since enumeration
NPPES CertifiedJune 8, 2025
NPI 1225790447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IL · 277003168
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
6307 S STEWART AVE STE 205, Chicago, IL 60621

Secondary Practice Location 1

Location 17531 S Stony Island AveChicago, IL 60649-3954 · Phone (773) 868-6824

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

Lashawnna Chanel 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 ID1355730482
PECOS Enrollment IDI20211111001374
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 9

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
590 services83 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
135 services87 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
122 services69 patients
Testing for presence of drug, read by direct observation 80305
Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.
76 services65 patients
Injection of trigger points, 3 or more muscles 20553
Trigger point injection therapy involves injecting medication into specific areas of your muscles, known as trigger points. These are areas that produce pain and discomfort. If you have three or more muscles affected, each will be treated individually.
56 services47 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
36 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60621 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pain Medicine (Interventional Pain Medicine)
6307 S STEWART AVE STE 205
CHICAGO, IL 60621

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 Lashawnna Jackson's NPI number?

The NPI number for Lashawnna Jackson is 1225790447. It was assigned to this individual provider in the NPPES registry on October 6, 2021.

Where is Lashawnna Jackson located?

Lashawnna Jackson practices at 6307 S Stewart Ave Ste 205, Chicago, IL 60621. The listed phone number is (773) 868-6824.

What is Lashawnna Jackson's specialty?

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

Is Lashawnna Jackson enrolled in Medicare?

Yes. Lashawnna 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.

When was this NPI record last updated?

The NPPES record for Lashawnna Jackson was last updated on June 8, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.