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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CHERI LYNN JACKSON
NPI 1336411172
Nurse Practitioner - Family in Philadelphia, PA

Active since February 08, 2012PECOS Enrolled
925 CHESTNUT ST, PHILADELPHIA, PA 19107(215) 955-6996 Get Directions Write a Review

NPPES record last updated: August 20, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Cheri Lynn Jackson NPPES

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

CHERI LYNN JACKSON (NPI 1336411172) is an individual family provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP015740) and active in the NPI registry since February 2012. She is enrolled in Medicare PECOS, is affiliated with Thomas Jefferson University Hospital, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1336411172
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCHERI LYNN JACKSON
Location Address925 CHESTNUT STPhiladelphia, PA 19107-4216
Mailing Address925 Chestnut StPhiladelphia, PA 19107-4216 · (215) 955-6996
Phone(215) 955-6996
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateFebruary 8, 2012
Last NPPES UpdateAugust 20, 2026
NPPES CertifiedAugust 20, 2026
✔ NPI 1336411172 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 PA · SP015740
925 CHESTNUT ST, Philadelphia, PA 19107
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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 and accepts Medicare assignment

Cheri Lynn 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 ID6901066109
PECOS Enrollment IDI20180110002009
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.

Hospital Affiliations CMS Care Compare

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

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.

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims330 services$4.20 avg. paid by Medicare
Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4153
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims4,960 services$0.97 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 Cheri Jackson's NPI number?

The NPI number for Cheri Jackson is 1336411172. It was assigned to this individual provider in the NPPES registry on February 8, 2012.

Where is Cheri Jackson located?

Cheri Jackson practices at 925 Chestnut St, Philadelphia, PA 19107. The listed phone number is (215) 955-6996.

What is Cheri Jackson's specialty?

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

Is Cheri Jackson enrolled in Medicare?

Yes. Cheri 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.

Is Cheri Jackson affiliated with any hospitals?

According to CMS data, Cheri Jackson is affiliated with Thomas Jefferson University Hospital.

When was this NPI record last updated?

The NPPES record for Cheri Jackson was last updated on August 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.