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LINDA SUE JACKSON PA-C
NPI 1407864119
Physician Assistant - Surgical in Addison, TX

Active since August 04, 2006PECOS EnrolledAccepts Medicare Assignment
17051 DALLAS PKWY, SUITE 400, ADDISON, TX 75001(214) 370-3535(214) 370-0004 Get Directions Write a Review

NPPES record last updated: June 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Linda Sue Jackson Pa-c NPPES

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

LINDA SUE JACKSON PA-C (NPI 1407864119) is an individual surgical provider in Addison, Texas, licensed in Texas (02046) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Methodist Hospital For Surgery, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1407864119
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameLINDA SUE JACKSONCredential: PA-C
Location Address17051 DALLAS PKWY, SUITE 400Addison, TX 75001-7109
Mailing Address17051 Dallas Pkwy, Suite 400Addison, TX 75001-7109 · (214) 370-3535 · Fax (214) 370-0004
Phone(214) 370-3535
Fax(214) 370-0004
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateAugust 4, 2006
Last NPPES UpdateJune 15, 2022
NPPES CertifiedJune 15, 2022
✔ NPI 1407864119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in TX · 02046
17051 DALLAS PKWY, Addison, TX 75001
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Other Identifiers 2

Medicaid209277701TX
Other8Y9248TX · Bcbstx

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

Linda Sue Jackson Pa-c 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 ID3678638616
PECOS Enrollment IDI20090209000044
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.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment 63048
This procedure involves the partial removal of a bone in your spine to alleviate pressure on your spinal cord or nerves. It may be performed on multiple spine segments depending on your condition. The aim is to improve mobility and reduce pain or discomfort.
106 services39 patients
Fusion of additional segment of spine 22614
Fusion of an additional segment of the spine is a surgical procedure to join two or more vertebrae together. This is done to stabilize the spine and reduce pain or correct a deformity. The procedure involves using bone grafts, rods, or screws to secure the spine.
59 services22 patients
Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853
Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.
46 services26 patients
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047
This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.
36 services35 patients
Fusion of spine in lower back 22612
Fusion of the spine in the lower back, also known as lumbar spinal fusion, is a surgery aimed to join, or fuse, two or more vertebrae in your lower back. This procedure can help alleviate pain and improve stability by reducing movement between the vertebrae.
24 services23 patients
Fusion of lower spine bone through abdomen with partial removal of disc 22558
This procedure involves merging the bones in your lower spine through an abdominal approach. A portion of the disc, which acts like a cushion between your vertebrae, is partially removed. The goal is to alleviate back pain by limiting movement in the problem area of your spine.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Methodist Hospital For Surgery

Acute Care Hospitals · Addison, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number670073
Location17101 Dallas ParkwayAddison, TX 75001 · Dallas County
Emergency services

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.

GLENWOOD ANESTHESIA MANAGEMENT
Nurse Anesthetist, Certified Registered
17051 DALLAS PKWY, SUITE 100
ADDISON, TX 75001
Dallas County (972) 916-0521
ROBERT DAVID STEWART DPT
Physical Therapist
17051 DALLAS PKWY, SUITE 450
ADDISON, TX 75001
Dallas County (469) 416-5250
WILLOWBEND INTERVENTIONAL PAIN CENTER, LLC
Clinic/Center (Pain)
17051 DALLAS PKWY, STE 100
ADDISON, TX 75001
Dallas County (469) 916-0521
SOMNIUM DME
Durable Medical Equipment & Medical Supplies
17051 DALLAS PKWY
ADDISON, TX 75001
Dallas County (312) 498-4259
SPRING CREEK INTERVENTIONAL PAIN CENTER, LLC
Clinic/Center (Pain)
17051 DALLAS PKWY, SUITE 100
ADDISON, TX 75001
Dallas County (972) 234-4740
COTTONWOOD ANESTHESIA MANAGEMENT, LLC
Clinic/Center (Pain)
17051 DALLAS PKWY, SUITE 100
ADDISON, TX 75001
Dallas County (972) 916-0251
HIGHLAND ANESTHIA MANAGEMENT, LLC
Nurse Anesthetist, Certified Registered
17051 DALLAS PKWY, SUITE 100
ADDISON, TX 75001
Dallas County (972) 916-0521
ZL INTERVENTIONAL PAIN CENTER, LLC
Registered Nurse
17051 DALLAS PKWY
ADDISON, TX 75001
Dallas County (469) 916-0521

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 Linda Jackson's NPI number?

The NPI number for Linda Jackson is 1407864119. It was assigned to this individual provider in the NPPES registry on August 4, 2006.

Where is Linda Jackson located?

Linda Jackson practices at 17051 Dallas Pkwy Suite 400, Addison, TX 75001. The listed phone number is (214) 370-3535.

What is Linda Jackson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Linda Jackson enrolled in Medicare?

Yes. Linda 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.

Is Linda Jackson affiliated with any hospitals?

According to CMS data, Linda Jackson is affiliated with Methodist Hospital For Surgery.

When was this NPI record last updated?

The NPPES record for Linda Jackson was last updated on June 15, 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.