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SASA K JACKSON PA-C
NPI 1447521539
Physician Assistant in Moore, OK

Active since January 20, 2012PECOS Enrolled
1400 SE 4TH ST, STE H, MOORE, OK 73160(405) 799-7400(405) 799-7405 Get Directions Write a Review

NPPES record last updated: January 20, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sasa K Jackson Pa-c NPPES

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

SASA K JACKSON PA-C (NPI 1447521539) is an individual physician assistant in Moore, Oklahoma, licensed in Oklahoma (2107) and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447521539
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSASA K JACKSONCredential: PA-C
Location Address1400 SE 4TH ST, STE HMoore, OK 73160-7329
Mailing Address1400 Se 4th St, Ste HMoore, OK 73160-7329 · (405) 799-7400 · Fax (405) 799-7405
Phone(405) 799-7400
Fax(405) 799-7405
Sole ProprietorNo
Enumeration DateJanuary 20, 2012
✔ NPI 1447521539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in OK · 2107
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.
1400 SE 4TH ST, Moore, OK 73160
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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)

Sasa K Jackson Pa-c 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.

Areas of Expertise CMS Part B claims 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
63 services59 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
33 services25 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
20 services20 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
18 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73160 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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.

MOORE PRIMARY CARE GERIATRICS APRN-CNP, PC
Family Medicine (Geriatric Medicine)
1400 SE 4TH ST, STE C
MOORE, OK 73160
Cleveland County (405) 799-7400
LACEY MARIE WOODARD
Case Manager/Care Coordinator
1400 SE 4TH ST
MOORE, OK 73160
Cleveland County (405) 837-1033
MOORE PRIMARY CARE INC
Family Medicine
1400 SE 4TH ST, STE H
MOORE, OK 73160
Cleveland County (405) 799-7400
WILLIAM RICHARDSON
Counselor (Professional)
1400 SE 4TH ST
MOORE, OK 73160
Cleveland County (405) 837-1033
CARTERS DRUG INC,
Pharmacy
1400 SE 4TH ST, SUITE H
MOORE, OK 73160
Cleveland County (405) 799-7400
MRS. MANDI BROOKE RHODES PA-C
Physician Assistant (Medical)
1400 SE 4TH ST, STE H
MOORE, OK 73160
Cleveland County (405) 799-7400
MR. MICHAEL ROSS DUNN M.S., LPC.
Counselor
1400 SE 4TH ST
MOORE, OK 73160
Cleveland County (405) 837-1033
SARA KAY HAYMANS
Case Manager/Care Coordinator
1400 SE 4TH ST
MOORE, OK 73160
Cleveland County (405) 565-2020

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 Sasa Jackson's NPI number?

The NPI number for Sasa Jackson is 1447521539. It was assigned to this individual provider in the NPPES registry on January 20, 2012.

Where is Sasa Jackson located?

Sasa Jackson practices at 1400 SE 4th St Ste H, Moore, OK 73160. The listed phone number is (405) 799-7400.

What is Sasa Jackson's specialty?

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

Is Sasa Jackson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Sasa Jackson was last updated on January 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.