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

Q: 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.

Q: What is Sasa Jackson's specialty?

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

Q: When was this NPI record last updated?

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

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: July 26, 2026.

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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.

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