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

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: November 01, 2026.

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
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Robert Jackson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medical Group Of New York, P.C.
Same address
Family
375 WHITE PLAINS RD
Eastchester, NY 10709
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Medical Group Of New York PC
  • 185 clinicians in this Medicare group
NPI 1487983516 (866) 389-2727
Montefiore Medical Center
6.2 mi
Anesthesiology
111 E 210TH ST
Bronx, NY 10467
  • Reassigned Medicare billing, New York enrollment
  • 5,251 clinicians in this Medicare group
NPI 1063525152 (914) 378-6021
Matrix Medical Of New York PC
16 mi
Nurse Practitioner
1740 BROADWAY
New York, NY 10019
  • Reassigned Medicare billing, New York enrollment
  • 114 clinicians in this Medicare group
NPI 1639433063 (480) 862-1677

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Interoperability100
Improvement Activities40

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.

MRS. LISA GIERER RPH
Pharmacist
375 WHITE PLAINS RD
EASTCHESTER, NY 10709
Westchester County (914) 337-5300
MS. MARY ELLEN TRACEY NP-C
Nurse Practitioner (Family)
375 WHITE PLAINS RD
EASTCHESTER, NY 10709
Westchester County (914) 337-5300
LAURA HALL
Pharmacist
375 WHITE PLAINS RD
EASTCHESTER, NY 10709
Westchester County (914) 337-5300
ANDREA JOSEPH BLAIR NP
Nurse Practitioner (Family)
375 WHITE PLAINS RD
EASTCHESTER, NY 10709
Westchester County (866) 389-2727
ALICIA JASMINE FERDINAND FNP
Nurse Practitioner (Family)
375 WHITE PLAINS RD
EASTCHESTER, NY 10709
Westchester County (866) 389-2727
ESTHER ROMILUS FNP-BC
Nurse Practitioner (Family)
375 WHITE PLAINS RD
EASTCHESTER, NY 10709
Westchester County (914) 337-5300
BENDU JOHNSON
Nurse Practitioner (Family)
375 WHITE PLAINS RD
EASTCHESTER, NY 10709
Westchester County (866) 389-2727
CVS ALBANY LLC
Pharmacy
375 WHITE PLAINS RD
EASTCHESTER, NY 10709
Westchester County (914) 337-5300

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 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.

Where is Robert Jackson located?

Robert Jackson practices at 375 White Plains Rd, Eastchester, NY 10709. The listed phone number is (866) 389-2727.

What is Robert Jackson's specialty?

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

Is Robert Jackson enrolled in Medicare?

Yes. Robert Jackson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Robert Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Jackson reassigns Medicare benefits to 3 organizations: Medical Group Of New York, P.C. (Eastchester, NY), Montefiore Medical Center (Bronx, NY) and Matrix Medical Of New York PC (New York, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Robert Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Robert Jackson was last updated on January 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.