JENNIFER JACKSON MD
NPI 1255745980
Family Medicine in Colton, CA

Q: What is Jennifer Jackson's NPI number?

The NPI number for Jennifer Jackson is 1255745980. It was assigned to this individual provider in the NPPES registry on June 20, 2014.

Q: What is Jennifer Jackson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Jackson was last updated on April 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 June 20, 2014PECOS Enrolled

400 N PEPPER AVE, COLTON, CA 92324(909) 580-3370 Get Directions Write a Review

NPPES record last updated: April 9, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 9, 2024, Mar 16, 2023, Jun 27, 2018 (3 updates tracked since 2018).

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About Jennifer Jackson Md NPPES

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

JENNIFER JACKSON MD (NPI 1255745980) is an individual family medicine provider in Colton, California, licensed in California (A144649) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255745980

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameJENNIFER JACKSONCredential: MD

Location Address400 N PEPPER AVEColton, CA 92324

Mailing Address400 N Pepper AveColton, CA 92324-1801 · (909) 580-3370

Phone(909) 580-3370

Sole ProprietorYes

Enumeration DateJune 20, 2014

Last NPPES UpdateApril 9, 20243 updates tracked since enumeration

NPPES CertifiedApril 9, 2024

✔ NPI 1255745980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · A144649

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

400 N PEPPER AVE, Colton, CA 92324

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Jackson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

Medicare enrollment records show Jennifer Jackson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Vituity Healthcare Services PC

Same address

Family Medicine

400 N PEPPER AVE
Colton, CA 92324

Reassigned Medicare billing, California enrollment
58 clinicians in this Medicare group

NPI 1700642758 (909) 580-1000

County Of San Bernardino

0.2 mi

Mental Health (Including Community Mental Health Center)

400 N. PEPPER AVE
Colton, CA 92324

Reassigned Medicare billing, California enrollment
233 clinicians in this Medicare group

NPI 1265637524 (909) 382-3127

Vituity Physician Services PC

5.8 mi

Family Medicine

16888 BASELINE AVE
Fontana, CA 92336

Reassigned Medicare billing, California enrollment
80 clinicians in this Medicare group

NPI 1124884176 (855) 422-8029

Venice Family Clinic

61 mi

Federally Qualified Health Center (FQHC)

4700 INGLEWOOD BLVD, #102
Culver City, CA 90230

Reassigned Medicare billing, California enrollment
147 clinicians in this Medicare group

NPI 1003842360 (310) 392-8636

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

78 services54 patients

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 services18 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.

20 services18 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92324 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

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

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.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier17 claims17 services$193.77 avg. paid by Medicare

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

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.

CATHERINE J CALHOUN

Licensed Psychiatric Technician