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LISA NICOLE JACKSON M.D.
NPI 1487844973
Obstetrics & Gynecology in Jamaica, NY

Active since July 31, 2007PECOS Enrolled
89-06 135TH ST, ROOM 6A, JAMAICA, NY 11418(718) 206-6808 Get Directions Write a Review

NPPES record last updated: July 31, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lisa Nicole Jackson M.d. NPPES

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

LISA NICOLE JACKSON M.D. (NPI 1487844973) is an individual obstetrics & gynecology provider in Jamaica, New York, licensed in New York (60 245188) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487844973
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameLISA NICOLE JACKSONCredential: M.D.
Location Address89-06 135TH ST, ROOM 6AJamaica, NY 11418
Mailing Address354 E 91st St, Apt 1805New York, NY 10128-5354 · (312) 213-6402
Phone(718) 206-6808
Sole ProprietorNo
Enumeration DateJuly 31, 2007
✔ NPI 1487844973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NY · 60 245188
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
89-06 135TH ST, Jamaica, NY 11418
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Nicole Jackson M.d. 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 Lisa Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Icahn School Of Medicine At Mount Sinai
9.4 mi
Obstetrics & Gynecology
5 E 98TH ST, SECOND FLOOR
New York, NY 10029
  • Reassigned Medicare billing, New York enrollment
  • 134 clinicians in this Medicare group
NPI 1124392212 (212) 241-8470

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 11418 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
$153.13 typical visit price
range $67.00 – $201.98
Typical copayment $38.28 (range $16.75 – $50.49)
Most-billed visit code 99204
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
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.

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 Lisa Jackson's NPI number?

The NPI number for Lisa Jackson is 1487844973. It was assigned to this individual provider in the NPPES registry on July 31, 2007.

Where is Lisa Jackson located?

Lisa Jackson practices at 89-06 135th St Room 6A, Jamaica, NY 11418. The listed phone number is (718) 206-6808.

What is Lisa Jackson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Lisa Jackson enrolled in Medicare?

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

Which organization bills Medicare for Lisa Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Jackson reassigns Medicare benefits to Icahn School Of Medicine At Mount Sinai (New York, NY). 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 Lisa Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lisa Jackson was last updated on July 31, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.