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MAYA JACKSON-GIBSON
NPI 1396263216
Pediatrics in Philadelphia, PA

Active since August 30, 2017PECOS Enrolled
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104(215) 590-1220 Get Directions Write a Review

NPPES record last updated: May 24, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 24, 2026, May 25, 2022, Aug 30, 2017 (3 updates tracked since 2017).

About Maya Jackson-gibson NPPES

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

MAYA JACKSON-GIBSON (NPI 1396263216) is an individual pediatrics provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MT225176) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Chicago, and is a graduate of Northwestern University Feinberg Medical School (2022).

NPPES Registry Identity

NPI1396263216
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMAYA JACKSON-GIBSON
Location Address3401 CIVIC CENTER BLVDPhiladelphia, PA 19104-4319
Mailing Address240 E Huron St Ste 1-200Chicago, IL 60611-2909
Phone(215) 590-1220
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 2022
Enumeration DateAugust 30, 2017
Last NPPES UpdateMay 24, 20263 updates tracked since enumeration
NPPES CertifiedMay 24, 2026
✔ NPI 1396263216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in PA · MT225176✔ Licensed in IL · 036.176226.
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3401 CIVIC CENTER BLVD, Philadelphia, PA 19104
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Secondary Practice Location 1

Location 1240 E Huron St Ste 1-200Chicago, IL 60611-2909 · Phone (312) 503-7975

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maya Jackson-gibson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2264925023
PECOS Enrollment IDI20251202000442
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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 20

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

AARON DORFMAN M.D.
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - CARDIOLOGY
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-4040
MS. NICOLE MARIE KOEPKE CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - EMERGENCY MED
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1944
DR. CASSANDRA ALYS LIGH MD
Surgery (Plastic and Reconstructive Surgery)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-2208
DR. PREETI SOI
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-7555
ROSALIND USHER M.D.
Pediatrics (Developmental - Behavioral Pediatrics)
3401 CIVIC CENTER BLVD, DIVISION OF DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-6336
DR. MATTHEW DAVID SCHREIER MD
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
DR. TERRENCE CALDWELL JR. PHARMD
Pharmacist (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
ALYSSA STIEFEL CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000

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 Maya Jackson-gibson's NPI number?

The NPI number for Maya Jackson-gibson is 1396263216. It was assigned to this individual provider in the NPPES registry on August 30, 2017.

Where is Maya Jackson-gibson located?

Maya Jackson-gibson practices at 3401 Civic Center Blvd, Philadelphia, PA 19104. The listed phone number is (215) 590-1220.

What is Maya Jackson-gibson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Maya Jackson-gibson enrolled in Medicare?

Yes. Maya Jackson-gibson is registered in the Medicare PECOS enrollment system.

What insurance does Maya Jackson-gibson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Maya Jackson-gibson 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.

When was this NPI record last updated?

The NPPES record for Maya Jackson-gibson was last updated on May 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.