ADAM JOEL JACKSON MD
NPI 1407483415
Anesthesiology - Pediatric Anesthesiology in Rochester, MN

Q: What is Adam Jackson's NPI number?

The NPI number for Adam Jackson is 1407483415. It was assigned to this individual provider in the NPPES registry on March 27, 2020.

Q: What is Adam Jackson's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pediatric Anesthesiology, with taxonomy code 207LP3000X.

Q: When was this NPI record last updated?

The NPPES record for Adam Jackson was last updated on January 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since March 27, 2020PECOS EnrolledAccepts Medicare Assignment

200 1ST ST SW, ROCHESTER, MN 55905(507) 284-2511 Get Directions Write a Review

NPPES record last updated: January 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 23, 2026, Jun 25, 2024, Feb 7, 2022 and 2 more (5 updates tracked since 2020).

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About Adam Joel Jackson Md NPPES

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

ADAM JOEL JACKSON MD (NPI 1407483415) is an individual pediatric anesthesiology provider in Rochester, Minnesota, licensed in Minnesota (76911) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Mayo Clinic Hospital Rochester, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1407483415

Entity TypeIndividualMale

Primary Taxonomy207LP3000X

Provider Legal NameADAM JOEL JACKSONCredential: MD

Location Address200 1ST ST SWRochester, MN 55905-0001

Mailing AddressPo Box 860912Minneapolis, MN 55486-0912 · (507) 284-2511 · Fax (507) 284-0702

Phone(507) 284-2511

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateMarch 27, 2020

Last NPPES UpdateJanuary 23, 20265 updates tracked since enumeration

NPPES CertifiedJanuary 23, 2026

✔ NPI 1407483415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiology · Pediatric AnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207LP3000X

License✔ Licensed in MN · 76911

Definition

An anesthesiologist who has had additional skill and experience in and is primarily concerned with the anesthesia, sedation, and pain management needs of infants and children. A pediatric anesthesiologist generally provides services including the evaluation of complex medical problems in infants and children when surgery is necessary, planning and care for children before and after surgery, pain control, anesthesia and sedation for any procedures out of the operating room such as MRI, CT scan, and radiation therapy.

Also ListedAnesthesiologyTaxonomy 207L00000X · License 76911 (MN)

200 1ST ST SW, Rochester, MN 55905

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

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

Adam Joel Jackson Md 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 ID3577008986

PECOS Enrollment IDI20240710001537

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.

Hospital Affiliations CMS Care Compare

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

Mayo Clinic Hospital Rochester

Acute Care Hospitals · Rochester, MN

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number240010

Location1216 Second Street SouthwestRochester, MN 55902 · Olmsted County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55905 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

$127.61 typical visit price

range $56.00 – $168.28

Typical copayment $31.90 (range $14.00 – $42.07)

Most-billed visit code 99204

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

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.

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.

EMILY LEASURE MD

Internal Medicine