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MARIA SHAUNTEE JACKSON
NPI 1417875469
Nurse Practitioner - Family in Waycross, GA

Active since July 08, 2026PECOS Enrolled
PO BOX 398, WAYCROSS, GA 31502(912) 614-8131 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Maria Shauntee Jackson NPPES

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

MARIA SHAUNTEE JACKSON (NPI 1417875469) is an individual family provider in Waycross, Georgia, licensed in Georgia (APRN-NP180801) and active in the NPI registry since July 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1417875469
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARIA SHAUNTEE JACKSON
Location AddressPO BOX 398Waycross, GA 31502-0398
Mailing AddressPo Box 398Waycross, GA 31502-0398
Phone(912) 614-8131
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateJuly 8, 2026
NPPES CertifiedJuly 8, 2026
✔ NPI 1417875469 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 GA · APRN-NP180801
PO BOX 398, Waycross, GA 31502
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)

Maria Shauntee Jackson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2264990878
PECOS Enrollment IDI20260813005052
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 Maria Jackson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Procare Wellness Network Inc
92 mi
Durable Medical Equipment & Medical Supplies
340 EISENHOWER DR BLDG 500
Savannah, GA 31406
  • Reassigned Medicare billing, Georgia enrollment
  • 23 clinicians in this Medicare group
NPI 1861129587 (912) 348-3818
Peachtree Hospice Of Georgia, LLC
191 mi
Hospice and Palliative Medicine
354 CORPORATE CENTER CT
Stockbridge, GA 30281
  • Reassigned Medicare billing, Georgia enrollment
  • 42 clinicians in this Medicare group
NPI 1255788436 (678) 583-2269

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 31502 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

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 Maria Jackson's NPI number?

The NPI number for Maria Jackson is 1417875469. It was assigned to this individual provider in the NPPES registry on July 8, 2026.

Where is Maria Jackson located?

Maria Jackson practices at PO Box 398, Waycross, GA 31502. The listed phone number is (912) 614-8131.

What is Maria Jackson's specialty?

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

Is Maria Jackson enrolled in Medicare?

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

Which organizations bill Medicare for Maria Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maria Jackson reassigns Medicare benefits to 2 organizations: Procare Wellness Network Inc (Savannah, GA) and Peachtree Hospice Of Georgia, LLC (Stockbridge, GA). 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 Maria 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 Maria Jackson was last updated on July 8, 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.