LENORA JACKSON NP
NPI 1407674898
Nurse Practitioner - Family in Stamford, CT

Active since October 02, 2024PECOS EnrolledAccepts Medicare Assignment
1 HOSPITAL PLZ, STAMFORD, CT 06902(203) 276-2695(203) 975-7842 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 9, 2026, Oct 10, 2025, Mar 12, 2025 and 1 more (4 updates tracked since 2024).

About Lenora Jackson Np NPPES

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

LENORA JACKSON NP (NPI 1407674898) is an individual family provider in Stamford, Connecticut, licensed in Connecticut (17211) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS, is affiliated with White Plains Hospital Center, and maintains a secondary practice location in White Plains.

NPPES Registry Identity

NPI1407674898
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLENORA JACKSONCredential: NP
Location Address1 HOSPITAL PLZStamford, CT 06902-3602
Mailing Address1 Hospital PlzStamford, CT 06902-3602 · (203) 276-2695 · Fax (203) 975-7842
Fax(203) 975-7842
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 2, 2024
Last NPPES UpdateJuly 9, 20264 updates tracked since enumeration
NPPES CertifiedJuly 9, 2026
✔ NPI 1407674898 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
Licenses✔ Licensed in CT · 17211✔ Licensed in NY · 353175
1 HOSPITAL PLZ, Stamford, CT 06902

Secondary Practice Location 1

Location 12 Longview AveWhite Plains, NY 10601-5000 · Phone (914) 849-7600

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lenora Jackson Np 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 ID5092232348
PECOS Enrollment IDI20250509000723
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

2

Medicare enrollment records show Lenora Jackson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
ONE OMEGA DRIVE, BUILDING 3, 2ND FLOOR
Stamford, CT 06907
  • Reassigned Medicare billing, Connecticut enrollment
  • 496 clinicians in this Medicare group
Internal Medicine
170 MAPLE AVE
White Plains, NY 10601
  • Reassigned Medicare billing, New York enrollment
  • 445 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare

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

White Plains Hospital Center

Acute Care Hospitals · White Plains, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330304
Location41 East Post R0adWhite Plains, NY 10601 · Westchester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06902 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

Physician Assistant
1 HOSPITAL PLZ
STAMFORD, CT 06902
Physician Assistant (Surgical)
1 HOSPITAL PLZ
STAMFORD, CT 06902
Physician Assistant (Surgical)
1 HOSPITAL PLZ
STAMFORD, CT 06902
Obstetrics & Gynecology
1 HOSPITAL PLZ
STAMFORD, CT 06902
Nurse Practitioner (Family)
1 HOSPITAL PLZ
STAMFORD, CT 06902
Hospitalist
1 HOSPITAL PLZ
STAMFORD, CT 06902
Physician Assistant
1 HOSPITAL PLZ
STAMFORD, CT 06902
Nurse Practitioner (Family)
1 HOSPITAL PLZ
STAMFORD, CT 06902

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 Lenora Jackson's NPI number?

The NPI number for Lenora Jackson is 1407674898. It was assigned to this individual provider in the NPPES registry on October 2, 2024.

Where is Lenora Jackson located?

Lenora Jackson practices at 1 Hospital Plz, Stamford, CT 06902. The listed phone number is (203) 276-2695.

What is Lenora Jackson's specialty?

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

Is Lenora Jackson enrolled in Medicare?

Yes. Lenora Jackson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Lenora Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lenora Jackson reassigns Medicare benefits to 2 organizations: Stamford Health Medical Group Inc (Stamford, CT) and White Plains Physician Services PC (White Plains, 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 Lenora Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Lenora Jackson affiliated with any hospitals?

According to CMS data, Lenora Jackson is affiliated with White Plains Hospital Center.

When was this NPI record last updated?

The NPPES record for Lenora Jackson was last updated on July 9, 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.