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DR. NICOLE R JACKSON MD, MPH
NPI 1457770638
Pathology - Forensic Pathology in Seattle, WA

Active since April 15, 2014PECOS Enrolled
908 JEFFERSON ST BLDG 2ND, SEATTLE, WA 98104(206) 731-3505(206) 731-8555 Get Directions Write a Review

NPPES record last updated: April 21, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Nicole R Jackson Md, Mph NPPES

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

DR. NICOLE R JACKSON MD, MPH (NPI 1457770638) is an individual forensic pathology provider in Seattle, Washington, licensed in New Mexico (MD2019-0291) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457770638
Entity TypeIndividualFemale
Primary Taxonomy207ZF0201X
Provider Legal NameDR. NICOLE R JACKSONCredential: MD, MPH
Location Address908 JEFFERSON ST BLDG 2NDSeattle, WA 98104-2433
Mailing Address325 9th Ave # 359792Seattle, WA 98104-2499 · (206) 731-3505 · Fax (206) 731-8555
Phone(206) 731-3505
Fax(206) 731-8555
Sole ProprietorYes
Enumeration DateApril 15, 2014
Last NPPES UpdateApril 21, 2023
NPPES CertifiedApril 21, 2023
✔ NPI 1457770638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Forensic PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZF0201X
License✔ Licensed in NM · MD2019-0291
Definition
A forensic pathologist is expert in investigating and evaluating cases of sudden, unexpected, suspicious and violent death as well as other specific classes of death defined by law. The forensic pathologist serves the public as coroner or medical examiner, or by performing medicolegal autopsies for such officials.
908 JEFFERSON ST BLDG 2ND, Seattle, WA 98104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nicole R Jackson Md, Mph 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.

Medicare Billing Reassignment

Medicare enrollment records show Nicole Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Association Of University Physicians
0.3 mi
Anesthesiology
701 5TH AVE, SUITE 700
Seattle, WA 98104
  • Reassigned Medicare billing, Washington enrollment
  • 4,364 clinicians in this Medicare group
NPI 1023041159 (206) 543-6420

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 98104 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
$143.76 typical visit price
range $63.67 – $189.37
Typical copayment $35.94 (range $15.91 – $47.34)
Most-billed visit code 99204
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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 Nicole Jackson's NPI number?

The NPI number for Nicole Jackson is 1457770638. It was assigned to this individual provider in the NPPES registry on April 15, 2014.

Where is Nicole Jackson located?

Nicole Jackson practices at 908 Jefferson St Bldg 2nd, Seattle, WA 98104. The listed phone number is (206) 731-3505.

What is Nicole Jackson's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Forensic Pathology, with taxonomy code 207ZF0201X.

Is Nicole Jackson enrolled in Medicare?

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

Which organization bills Medicare for Nicole Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Jackson reassigns Medicare benefits to The Association Of University Physicians (Seattle, WA). The 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 Nicole Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Jackson accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Nicole 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 Nicole Jackson was last updated on April 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.