STEPHANIE ROBERTS JACKSON DDS
NPI 1477569382
Dentist - General Practice in Harlingen, TX

Q: What is Stephanie Jackson's NPI number?

The NPI number for Stephanie Jackson is 1477569382. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Q: What is Stephanie Jackson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Stephanie Jackson was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since July 31, 2006PECOS Enrolled

1706 TREASURE HILLS BLVD, HARLINGEN, TX 78550(956) 365-6003(956) 365-6780 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Stephanie Roberts Jackson Dds NPPES

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

STEPHANIE ROBERTS JACKSON DDS (NPI 1477569382) is an individual general practice provider in Harlingen, Texas, licensed in Texas (18877) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477569382

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameSTEPHANIE ROBERTS JACKSONCredential: DDS

Location Address1706 TREASURE HILLS BLVDHarlingen, TX 78550-8911

Mailing Address1706 Treasure Hills BlvdHarlingen, TX 78550-8911 · (956) 365-6003 · Fax (956) 365-6780

Phone(956) 365-6003

Fax(956) 365-6780

Sole ProprietorNo

Enumeration DateJuly 31, 2006

Last NPPES UpdateApril 23, 2025

NPPES CertifiedApril 23, 2025

✔ NPI 1477569382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in TX · 18877

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1706 TREASURE HILLS BLVD, Harlingen, TX 78550

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Other Identifiers 1

Medicaid1209512-05TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephanie Roberts Jackson Dds 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 Stephanie Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Su Clinica Familiar

Same address

Federally Qualified Health Center (FQHC)

1706 TREASURE HILLS BLVD
Harlingen, TX 78550

Reassigned Medicare billing, Texas enrollment
47 clinicians in this Medicare group

NPI 1285643304 (956) 365-6750

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 78550 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

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.

EDGAR GARZA LMSW

Social Worker (Clinical)