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GABRIELLE JACKSON
NPI 1407581374
Physician Assistant in New York, NY

Active since July 23, 2022PECOS Enrolled
575 LEXINGTON AVE, NEW YORK, NY 10022(646) 962-7277 Get Directions Write a Review

NPPES record last updated: July 23, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gabrielle Jackson NPPES

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

GABRIELLE JACKSON (NPI 1407581374) is an individual physician assistant in New York, New York and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407581374
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameGABRIELLE JACKSON
Location Address575 LEXINGTON AVENew York, NY 10022-6102
Mailing Address575 Lexington AveNew York, NY 10022-6102
Phone(646) 962-7277
Sole ProprietorNo
Enumeration DateJuly 23, 2022
NPPES CertifiedJuly 23, 2022
✔ NPI 1407581374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
575 LEXINGTON AVE, New York, NY 10022
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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)

Gabrielle Jackson 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 10022 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

MARIVIC SANTOS PT
Physical Therapist
575 LEXINGTON AVE
NEW YORK, NY 10022
New York County (212) 371-7869
ABBY SIMS PHYSICAL THERAPIST
Physical Therapist
575 LEXINGTON AVE, 2NS FLOOR
NEW YORK, NY 10022
New York County (212) 371-7869
DR. POWERS PETERSON M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
575 LEXINGTON AVE, SUITE 670
NEW YORK, NY 10022
New York County (646) 962-4950
WALGREEN CO
Pharmacy
575 LEXINGTON AVE
NEW YORK, NY 10022
New York County (212) 207-8274
MISS ELIZABETH ANNE JESTER FNP-BC
Nurse Practitioner (Family)
575 LEXINGTON AVE
NEW YORK, NY 10022
New York County (212) 821-0924
DR. JOEL BARRY GRAD M.D.
Orthopaedic Surgery (Hand Surgery)
575 LEXINGTON AVE, 4TH FLOOR
NEW YORK, NY 10022
New York County (212) 847-9848
SONIA BASRA
Physical Therapist
575 LEXINGTON AVE, NYSC
NEW YORK, NY 10022
New York County (212) 371-7869
MOHAMMED KRAISH PT
Physical Therapist
575 LEXINGTON AVE
NEW YORK, NY 10022
New York County (212) 371-7869

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 Gabrielle Jackson's NPI number?

The NPI number for Gabrielle Jackson is 1407581374. It was assigned to this individual provider in the NPPES registry on July 23, 2022.

Where is Gabrielle Jackson located?

Gabrielle Jackson practices at 575 Lexington Ave, New York, NY 10022. The listed phone number is (646) 962-7277.

What is Gabrielle Jackson's specialty?

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

Is Gabrielle Jackson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Gabrielle Jackson was last updated on July 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.