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MS. AMANDA EMILY JACKSON C.R.N.P
NPI 1285068825
Nurse Practitioner - Adult Health in Philadelphia, PA

Active since August 30, 2013PECOS EnrolledAccepts Medicare Assignment
925 CHESTNUT ST, SUITE 320A, PHILADELPHIA, PA 19107(215) 955-8874 Get Directions Write a Review

NPPES record last updated: June 10, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ms. Amanda Emily Jackson C.r.n.p NPPES

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

MS. AMANDA EMILY JACKSON C.R.N.P (NPI 1285068825) is an individual adult health provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP013151) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS, is affiliated with Jefferson Stratford Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1285068825
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMS. AMANDA EMILY JACKSONCredential: C.R.N.P
Location Address925 CHESTNUT ST, SUITE 320APhiladelphia, PA 19107-4216
Mailing Address925 Chestnut St, Suite 320aPhiladelphia, PA 19107-4216 · (215) 955-8874
Phone(215) 955-8874
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateAugust 30, 2013
Last NPPES UpdateJune 10, 2014
✔ NPI 1285068825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in PA · SP013151
925 CHESTNUT ST, Philadelphia, PA 19107
Open in Google Maps ↗

Other Identifiers 2

Medicare PIN333932PA
Medicaid102903630PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Ms. Amanda Emily Jackson C.r.n.p 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 ID5294965554
PECOS Enrollment IDI20140306000097
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 Reassignment

Medicare enrollment records show Amanda Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Jefferson University Physicians
0.1 mi
General Practice
33 S. 9TH STREET
Philadelphia, PA 19107
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,739 clinicians in this Medicare group
NPI 1326093675 (215) 955-0000

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

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.
191 services63 patients

Hospital Affiliations CMS Care Compare 3

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

Jefferson Stratford Hospital

Acute Care Hospitals · Stratford, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310086
Location18 East Laurel RoadStratford, NJ 08084 · Camden County
Emergency services Birthing friendly

Paoli Hospital

Acute Care Hospitals · Paoli, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390153
Location255 West Lancaster AvenuePaoli, PA 19301 · Chester County
Emergency services Birthing friendly

Thomas Jefferson University Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390174
Location111 South 11th StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

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 2

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

Etoposide; oral, 50 mg J8560
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier13 claims224 services$59.87 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
1 supplier12 claims12 services$17.33 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.

DR. MATTHEW DECARO M.D.
Internal Medicine (Cardiovascular Disease)
925 CHESTNUT ST, MEZZANINE
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-5050
DR. MANISH SHARMA MD
Internal Medicine (Medical Oncology)
925 CHESTNUT ST, SUITE 320A
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-8874
MS. ELEANOR LYNN VANDERKLOK CRNP
Nurse Practitioner (Adult Health)
925 CHESTNUT ST, SUITE 320A
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-8874
LEANNE MCKEOWN PA-C
Physician Assistant
925 CHESTNUT ST, FIFTH FLOOR
PHILADELPHIA, PA 19107
Philadelphia County (267) 339-3500
WILLIAM KEVIN KELLY DO
Internal Medicine (Medical Oncology)
925 CHESTNUT ST, SUITE 320A
PHILADELPHIA, PA 19107
Philadelphia County (215) 995-8874
DR. MARC R. ROSEN M.D.
Otolaryngology
925 CHESTNUT ST, 6TH FLOOR
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6760
ANDREW B NEWBERG MD
Nuclear Medicine
925 CHESTNUT ST, SUITE 120
PHILADELPHIA, PA 19107
Philadelphia County (215) 503-3422
DR. HOWARD H. WEITZ M.D.
Internal Medicine (Cardiovascular Disease)
925 CHESTNUT ST, MEZZANINE FLOOR
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-5050

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 Amanda Jackson's NPI number?

The NPI number for Amanda Jackson is 1285068825. It was assigned to this individual provider in the NPPES registry on August 30, 2013.

Where is Amanda Jackson located?

Amanda Jackson practices at 925 Chestnut St Suite 320A, Philadelphia, PA 19107. The listed phone number is (215) 955-8874.

What is Amanda Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Amanda Jackson enrolled in Medicare?

Yes. Amanda 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 organization bills Medicare for Amanda Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Jackson reassigns Medicare benefits to Jefferson University Physicians (Philadelphia, PA). The 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 Amanda Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amanda Jackson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Amanda 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 Amanda Jackson affiliated with any hospitals?

According to CMS data, Amanda Jackson is affiliated with Jefferson Stratford Hospital, Paoli Hospital and Thomas Jefferson University Hospital.

When was this NPI record last updated?

The NPPES record for Amanda Jackson was last updated on June 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.