ADRIENNE ANN JACKSON DNP, FNP-C
NPI 1487199881
Nurse Practitioner - Family in San Francisco, CA

Q: What is Adrienne Jackson's NPI number?

The NPI number for Adrienne Jackson is 1487199881. It was assigned to this individual provider in the NPPES registry on December 21, 2016.

Q: What is Adrienne Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Adrienne Jackson was last updated on August 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 December 21, 2016PECOS Enrolled

1 EMBARCADERO CTR FL 19, SAN FRANCISCO, CA 94111(415) 658-6791(415) 252-7176 Get Directions Write a Review

NPPES record last updated: August 14, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 14, 2025, Aug 9, 2025, Apr 2, 2025 and 1 more (4 updates tracked since 2016).

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About Adrienne Ann Jackson Dnp, Fnp-c NPPES

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

ADRIENNE ANN JACKSON DNP, FNP-C (NPI 1487199881) is an individual family provider in San Francisco, California, licensed in Georgia (GAA-NP002108) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487199881

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameADRIENNE ANN JACKSONCredential: DNP, FNP-C

Location Address1 EMBARCADERO CTR FL 19San Francisco, CA 94111-3628

Mailing Address1 Embarcadero Ctr Fl 19San Francisco, CA 94111-3628 · Fax (415) 252-7176

Phone(415) 658-6791

Fax(415) 252-7176

Sole ProprietorNo

Enumeration DateDecember 21, 2016

Last NPPES UpdateAugust 14, 20254 updates tracked since enumeration

NPPES CertifiedAugust 14, 2025

✔ NPI 1487199881 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in GA · GAA-NP002108✔ Licensed in TN · 182999✔ Licensed in CO · C-APN.0104238-C-NP✔ Licensed in NC · 5022478✔ Licensed in MA · RN10024820✔ Licensed in AZ · 328084

1 EMBARCADERO CTR FL 19, San Francisco, CA 94111

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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)

Adrienne Ann Jackson Dnp, Fnp-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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94111 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

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

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 20

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

MAKEDA GANT

Nurse Practitioner (Family)