EKAETE JACKSON MD
NPI 1437382306
Family Medicine in Mogadore, OH

Active since August 26, 2009PECOS Enrolled
754 S CLEVELAND AVE, #300, MOGADORE, OH 44260(330) 628-2686(330) 628-0828 Get Directions Write a Review

NPPES record last updated: December 4, 2014. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Ekaete Jackson Md NPPES

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

EKAETE JACKSON MD (NPI 1437382306) is an individual family medicine provider in Mogadore, Ohio, licensed in Ohio (35-123871) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1437382306
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameEKAETE JACKSONCredential: MD
Location Address754 S CLEVELAND AVE, #300Mogadore, OH 44260-2200
Mailing Address754 S Cleveland Ave, #300Mogadore, OH 44260-2200 · (330) 628-2686 · Fax (330) 628-0828
Fax(330) 628-0828
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateAugust 26, 2009
Last NPPES UpdateDecember 4, 2014
NPI 1437382306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in OH · 35-123871
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
754 S CLEVELAND AVE, Mogadore, OH 44260

Other Identifiers 5

Medicaid0104794OH
Other9338635OH · Partners Physician Group Medicare Group #
Other2551671OH · Partners Physician Group Medicaid Group #
Medicare PINH329760OH
Other1841239274OH · Partners Physician Group Type 2 Npi #

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

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

PECOS PAC ID4284872060
PECOS Enrollment IDI20260529002909
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 44260 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery (Foot and Ankle Surgery)
754 S CLEVELAND AVE, #301
MOGADORE, OH 44260
Family Medicine
754 S CLEVELAND AVE
MOGADORE, OH 44260
Family Medicine
754 S CLEVELAND AVE, SUITE 300
MOGADORE, OH 44260
Family Medicine
754 S CLEVELAND AVE
MOGADORE, OH 44260
Family Medicine
754 S CLEVELAND AVE
MOGADORE, OH 44260

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 Ekaete Jackson's NPI number?

The NPI number for Ekaete Jackson is 1437382306. It was assigned to this individual provider in the NPPES registry on August 26, 2009.

Where is Ekaete Jackson located?

Ekaete Jackson practices at 754 S Cleveland Ave #300, Mogadore, OH 44260. The listed phone number is (330) 628-2686.

What is Ekaete Jackson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ekaete Jackson enrolled in Medicare?

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

What insurance does Ekaete Jackson accept?

Health plans from CareSource list Ekaete Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ekaete Jackson was last updated on December 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.