DR. LASTASHA R JACKSON CRNP
NPI 1356911325
Nurse Practitioner - Family in Woodlyn, PA

Q: What is Lastasha Jackson's NPI number?

The NPI number for Lastasha Jackson is 1356911325. It was assigned to this individual provider in the NPPES registry on June 30, 2021.

Q: What is Lastasha Jackson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lastasha Jackson was last updated on June 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 30, 2021PECOS EnrolledAccepts Medicare Assignment

215 BULLENS LN, WOODLYN, PA 19094(484) 416-0769 Get Directions Write a Review

NPPES record last updated: June 30, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Lastasha R Jackson Crnp NPPES

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

DR. LASTASHA R JACKSON CRNP (NPI 1356911325) is an individual family provider in Woodlyn, Pennsylvania, licensed in Pennsylvania (SP022131) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Valley Forge Medical Center And Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1356911325

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameDR. LASTASHA R JACKSONCredential: CRNP

Location Address215 BULLENS LNWoodlyn, PA 19094-2001

Mailing Address330 E Brown StNorristown, PA 19401-5407 · (484) 213-3591

Phone(484) 416-0769

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateJune 30, 2021

NPPES CertifiedJune 4, 2021

✔ NPI 1356911325 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 · SP022131

215 BULLENS LN, Woodlyn, PA 19094

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Dr. Lastasha R Jackson Crnp 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 ID9931585577

PECOS Enrollment IDI20221004003973

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.

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

335 services79 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

170 services58 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307

A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.

81 services42 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

13 services12 patients

Hospital Affiliations CMS Care Compare

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

Valley Forge Medical Center And Hospital

Acute Care Hospitals · Norristown, PA

OwnershipProprietary

CMS Certification Number390272

Location1033 West Germantown PikeNorristown, PA 19403 · Montgomery County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19094 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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HOSANA HOME HEALTH CARE SERVICES, LLC

Home Health

215 BULLENS LN
WOODLYN, PA 19094

Delaware County (484) 768-6963

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 Lastasha Jackson's NPI number?

The NPI number for Lastasha Jackson is 1356911325. It was assigned to this individual provider in the NPPES registry on June 30, 2021.

Where is Lastasha Jackson located?

Lastasha Jackson practices at 215 Bullens Ln, Woodlyn, PA 19094. The listed phone number is (484) 416-0769.

What is Lastasha Jackson's specialty?

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

Is Lastasha Jackson enrolled in Medicare?

Yes. Lastasha 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 Lastasha Jackson affiliated with any hospitals?

According to CMS data, Lastasha Jackson is affiliated with Valley Forge Medical Center And Hospital.

When was this NPI record last updated?

The NPPES record for Lastasha Jackson was last updated on June 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.