EMMA J JACKSON NP
NPI 1255809372
Registered Nurse - Pediatrics in Lake Elsinore, CA

Q: What is Emma Jackson's NPI number?

The NPI number for Emma Jackson is 1255809372. It was assigned to this individual provider in the NPPES registry on November 6, 2018.

Q: What is Emma Jackson's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Pediatrics, with taxonomy code 163WP0200X.

Q: When was this NPI record last updated?

The NPPES record for Emma Jackson was last updated on August 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 November 06, 2018PECOS Enrolled

33048 CANOPY LN, LAKE ELSINORE, CA 92532(909) 614-3039 Get Directions Write a Review

NPPES record last updated: August 7, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 7, 2020, Feb 26, 2020, Nov 6, 2018 (3 updates tracked since 2018).

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About Emma J Jackson Np NPPES

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

EMMA J JACKSON NP (NPI 1255809372) is an individual pediatrics provider in Lake Elsinore, California, licensed in California (95042368) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255809372

Entity TypeIndividualFemale

Primary Taxonomy163WP0200X

Provider Legal NameEMMA J JACKSONCredential: NP

Location Address33048 CANOPY LNLake Elsinore, CA 92532-2535

Mailing Address33048 Canopy LnLake Elsinore, CA 92532-2535 · (909) 614-3039

Phone(909) 614-3039

Sole ProprietorYes

Enumeration DateNovember 6, 2018

Last NPPES UpdateAugust 7, 20203 updates tracked since enumeration

NPPES CertifiedAugust 7, 2020

✔ NPI 1255809372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRegistered Nurse · PediatricsNursing Service Providers

Taxonomy Code163WP0200X

License✔ Licensed in CA · 95042368

Also ListedRegistered NurseTaxonomy 163W00000X · License RN95042368 (CA)

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License NP950147 (CA)

33048 CANOPY LN, Lake Elsinore, CA 92532

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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 (PECOS)

Emma J Jackson Np 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.

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 Emma Jackson's NPI number?

The NPI number for Emma Jackson is 1255809372. It was assigned to this individual provider in the NPPES registry on November 6, 2018.

Where is Emma Jackson located?

Emma Jackson practices at 33048 Canopy Ln, Lake Elsinore, CA 92532. The listed phone number is (909) 614-3039.

What is Emma Jackson's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Pediatrics, with taxonomy code 163WP0200X.

Is Emma Jackson enrolled in Medicare?

Yes. Emma Jackson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Emma Jackson was last updated on August 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.