ILIANA JACKSON FNP
NPI 1275366031
Nurse Practitioner - Family in Boerne, TX

Active since August 26, 2024PECOS EnrolledAccepts Medicare Assignment
112 HERFF RD STE 250, BOERNE, TX 78006(830) 816-5007(830) 257-0049 Get Directions Write a Review

NPPES record last updated: August 1, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 1, 2026, Oct 12, 2024, Sep 3, 2024 (3 updates tracked since 2024).

About Iliana Jackson Fnp NPPES

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

ILIANA JACKSON FNP (NPI 1275366031) is an individual family provider in Boerne, Texas, licensed in Texas (1173678) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS, is affiliated with Baptist Medical Center, and maintains a secondary practice location in San Antonio.

NPPES Registry Identity

NPI1275366031
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameILIANA JACKSONCredential: FNP
Location Address112 HERFF RD STE 250Boerne, TX 78006-2751
Mailing Address112 Herff Rd Ste 250Boerne, TX 78006-2751 · (830) 816-5007 · Fax (830) 255-5766
Fax(830) 257-0049
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 26, 2024
Last NPPES UpdateAugust 1, 20263 updates tracked since enumeration
NPPES CertifiedAugust 1, 2026
✔ NPI 1275366031 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 TX · 1173678
112 HERFF RD STE 250, Boerne, TX 78006

Other Names 1

Former Name (1)Iliana Romero Rn

Secondary Practice Location 1

Location 120711 Wilderness Oak Ste 107San Antonio, TX 78258-2641 · Phone (210) 556-5807 · Fax (830) 255-5766

Accepted Insurance

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

Iliana Jackson Fnp 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 ID2668903584
PECOS Enrollment IDI20241002004196
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

3

Medicare enrollment records show Iliana Jackson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
20711 WILDERNESS OAK STE 107
San Antonio, TX 78258
  • Reassigned Medicare billing, Texas enrollment
Family Medicine
10010 WESTOVER HILLS BLVD STE 125
San Antonio, TX 78251
  • Reassigned Medicare billing, Texas enrollment
  • 7 clinicians in this Medicare group
Gastroenterology
420 WATER ST, SUITE 103
Kerrville, TX 78028
  • Reassigned Medicare billing, Texas enrollment
  • 6 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.

Hospital Affiliations CMS Care Compare

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

Baptist Medical Center

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450058
Location111 Dallas StreetSan Antonio, TX 78205 · Bexar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78006 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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 Iliana Jackson's NPI number?

The NPI number for Iliana Jackson is 1275366031. It was assigned to this individual provider in the NPPES registry on August 26, 2024. The provider is also known as Iliana Romero Rn.

Where is Iliana Jackson located?

Iliana Jackson practices at 112 Herff Rd Ste 250, Boerne, TX 78006. The listed phone number is (830) 816-5007.

What is Iliana Jackson's specialty?

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

Is Iliana Jackson enrolled in Medicare?

Yes. Iliana 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.

Which organizations bill Medicare for Iliana Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Iliana Jackson reassigns Medicare benefits to 3 organizations: Iliana Jackson Fnp PLLC (San Antonio, TX), Linda I Esquivel MD PA (San Antonio, TX) and Hill Country Digestive Health PLLC (Kerrville, TX). 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 Iliana Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Iliana Jackson accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Iliana Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Iliana Jackson affiliated with any hospitals?

According to CMS data, Iliana Jackson is affiliated with Baptist Medical Center.

When was this NPI record last updated?

The NPPES record for Iliana Jackson was last updated on August 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.