MR. ROBERT JACKSON FNP
NPI 1396834990
Nurse Practitioner - Family in Eastchester, NY

Q: What is Robert Jackson's NPI number?

The NPI number for Robert Jackson is 1396834990. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Q: What is Robert 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 Robert Jackson was last updated on January 2, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 12, 2006PECOS Enrolled

100/100

CMS Quality Rating

375 WHITE PLAINS RD, EASTCHESTER, NY 10709(866) 389-2727 Get Directions Write a Review

NPPES record last updated: January 2, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mr. Robert Jackson Fnp NPPES

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

MR. ROBERT JACKSON FNP (NPI 1396834990) is an individual family provider in Eastchester, New York, licensed in New York (F331987) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396834990

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. ROBERT JACKSONCredential: FNP

Location Address375 WHITE PLAINS RDEastchester, NY 10709-2826

Mailing Address375 White Plains RdEastchester, NY 10709-2826 · (866) 389-2727

Phone(866) 389-2727

Sole ProprietorNo

Enumeration DateOctober 12, 2006

Last NPPES UpdateJanuary 2, 2025

NPPES CertifiedJanuary 2, 2025

✔ NPI 1396834990 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 NY · F331987

375 WHITE PLAINS RD, Eastchester, NY 10709

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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 (PECOS)

Mr. Robert Jackson Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 10709 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

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

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.

NANCY NEFF MANISTER DNS, FNP-BC

Nurse Practitioner (Family)

375 WHITE PLAINS RD, MINUTE CLINIC
EASTCHESTER, NY 10709

Westchester County (914) 337-5300

LAURA HALL

Pharmacist