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MRS. JENNY JACKSON PA-C
NPI 1386767440
Physician Assistant in Mineola, NY

Active since April 06, 2007PECOS EnrolledAccepts Medicare Assignment
93.54/100
CMS Quality Rating
243 WILLIS AVE, MINEOLA, NY 11501(516) 742-1730(516) 873-1641 Get Directions Write a Review

NPPES record last updated: December 3, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Jenny Jackson Pa-c NPPES

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

MRS. JENNY JACKSON PA-C (NPI 1386767440) is an individual physician assistant in Mineola, New York, licensed in New York (011580) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Mineola, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1386767440
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. JENNY JACKSONCredential: PA-C
Location Address243 WILLIS AVEMineola, NY 11501
Mailing Address243 Willis AveMineola, NY 11501-2432 · (516) 742-1730 · Fax (516) 873-1641
Phone(516) 742-1730
Fax(516) 873-1641
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateApril 6, 2007
Last NPPES UpdateDecember 3, 2019
✔ NPI 1386767440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 011580
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
243 WILLIS AVE, Mineola, NY 11501
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Secondary Practice Location 1

Location 1200 Old Country Rd, Suite 120Mineola, NY 11501-4235 · Phone (516) 663-1223 · Fax (516) 663-1221

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

Mrs. Jenny Jackson Pa-c 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 ID4789866781
PECOS Enrollment IDI20110312000011
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

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
42 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11501 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.8
Improvement Activities40

Other Providers at the Same Location NPPES

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

VIRGINIA ELIZABETH MAURER M.D.
Specialist
243 WILLIS AVE
MINEOLA, NY 11501
Nassau County (516) 742-1730

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 Jenny Jackson's NPI number?

The NPI number for Jenny Jackson is 1386767440. It was assigned to this individual provider in the NPPES registry on April 6, 2007.

Where is Jenny Jackson located?

Jenny Jackson practices at 243 Willis Ave, Mineola, NY 11501. The listed phone number is (516) 742-1730.

What is Jenny Jackson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jenny Jackson enrolled in Medicare?

Yes. Jenny 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.

When was this NPI record last updated?

The NPPES record for Jenny Jackson was last updated on December 3, 2019. 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.