DR. TATIANIE ALICIA JACKSON MD
NPI 1528313558
Radiology - Nuclear Radiology in Hershey, PA

Q: What is Tatianie Jackson's NPI number?

The NPI number for Tatianie Jackson is 1528313558. It was assigned to this individual provider in the NPPES registry on July 16, 2012.

Q: What is Tatianie Jackson's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Nuclear Radiology, with taxonomy code 2085N0904X.

Q: When was this NPI record last updated?

The NPPES record for Tatianie Jackson was last updated on June 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since July 16, 2012PECOS EnrolledAccepts Medicare Assignment

500 UNIVERSITY DR, MC CA410, HERSHEY, PA 17033(175) 318-0447(717) 531-5596 Get Directions Write a Review

NPPES record last updated: June 11, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 11, 2024, Sep 25, 2020, May 9, 2019 and 1 more (4 updates tracked since 2017).

On this page

About Dr. Tatianie Alicia Jackson Md NPPES

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

DR. TATIANIE ALICIA JACKSON MD (NPI 1528313558) is an individual nuclear radiology provider in Hershey, Pennsylvania, licensed in Pennsylvania (MD470854) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS, is affiliated with Geisinger-bloomsburg Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1528313558

Entity TypeIndividualFemale

Primary Taxonomy2085N0904X

Provider Legal NameDR. TATIANIE ALICIA JACKSONCredential: MD

Location Address500 UNIVERSITY DR, MC CA410Hershey, PA 17033-2360

Mailing Address100 N Academy AveDanville, PA 17822-4903 · (570) 271-6144 · Fax (570) 271-6578

Phone(175) 318-0447

Fax(717) 531-5596

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateJuly 16, 2012

Last NPPES UpdateJune 11, 20244 updates tracked since enumeration

NPPES CertifiedJune 11, 2024

✔ NPI 1528313558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRadiology · Nuclear RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085N0904X

License✔ Licensed in PA · MD470854

Definition

A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease.

Also ListedNuclear MedicineTaxonomy 207U00000X · License 278083 (MA)

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License 278083 (MA)

500 UNIVERSITY DR, Hershey, PA 17033

Open in Google Maps ↗

Secondary Practice Locations 2

Location 1820 Harrison AveBoston, MA 02118-2905 · Phone (617) 638-6616

Location 21800 Mulberry StScranton, PA 18510-2369 · Phone (570) 703-8151

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Tatianie Alicia Jackson Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355681891

PECOS Enrollment IDI20200819000001

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 Reassignments

Medicare enrollment records show Tatianie Jackson reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Milton S Hershey Medical Center Physicians Group

Same address

Critical Care Medicine

500 UNIVERSITY DR
Hershey, PA 17033

Reassigned Medicare billing, Pennsylvania enrollment
2,216 clinicians in this Medicare group

NPI 1073687497 (800) 243-1455

Geisinger Clinc

37 mi

Family Medicine

14229 ROUTE 35
Richfield, PA 17086

Reassigned Medicare billing, Pennsylvania enrollment
Medicare enrollment name: Geisinger Clinic
4,429 clinicians in this Medicare group

NPI 1326537564 (717) 694-9909

Geisinger-Hm Joint Venture LLC

67 mi

Internal Medicine

255 ROUTE 220 HIGHWAY
Muncy, PA 17756

Reassigned Medicare billing, Pennsylvania enrollment
1,405 clinicians in this Medicare group

NPI 1952076119 (570) 308-2600

Saint Vincent Radiological Associates Inc

289 mi

Diagnostic Radiology

123 SUMMER ST
Worcester, MA 01608

Reassigned Medicare billing, Massachusetts enrollment
29 clinicians in this Medicare group

NPI 1366482093 (508) 363-5000

Lahey Clinic, Inc.

324 mi

Internal Medicine

41 MALL RD, LAHEY CLINIC
Burlington, MA 01805

Reassigned Medicare billing, Massachusetts enrollment
Also billed through NPI 1063447316 (Massachusetts)
1,574 clinicians in this Medicare group

NPI 1538194980 (781) 744-8000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 15

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.

Screening 3d breast mammography 77063

Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.

229 services229 patients

Screening mammography 77067

Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.

226 services226 patients

Screening 3d breast mammography 77063

188 services188 patients

Screening mammography 77067

188 services188 patients

Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279

Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.

56 services56 patients

Dxa bone density measurement of hip, pelvis, spine 77080

A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.

47 services47 patients

Diagnostic mammography of 1 breast 77065

Diagnostic mammography of 1 breast is a detailed imaging test that allows doctors to closely examine a specific area in the breast. It's often used when a routine screening reveals an abnormality. This test can help identify any unusual changes or issues.

42 services41 patients

Nuclear medicine study from skull base to mid-thigh with ct scan 78815

A nuclear medicine study from skull base to mid-thigh with a CT scan involves using a small amount of radioactive material and CT imaging to examine body tissues and organs. This helps detect any abnormalities by providing detailed images of the body's internal structure.

35 services35 patients

Limited ultrasound scan of 1 breast 76642

A limited ultrasound scan of one breast is a non-invasive imaging test. It uses sound waves to create pictures of the inside of your breast. It helps identify any unusual growths or changes. It's safe, quick, and typically painless.

28 services28 patients

Diagnostic mammography of both breasts 77066

Diagnostic mammography involves using special imaging technology to capture detailed images of both breasts. This procedure helps in identifying any unusual changes or abnormalities. It's a crucial step in ensuring breast health and early detection of potential issues.

27 services27 patients

Complete ultrasound scan of 1 breast 76641

A complete ultrasound scan of one breast is a non-invasive imaging test that uses sound waves to create detailed images of the inside of your breast. It helps in detecting any abnormalities or changes, ensuring your breast health.

22 services22 patients

Dxa bone density measurement of hip, pelvis, spine 77080

18 services18 patients

Mri scan of both breasts 77049

An MRI scan of both breasts is a non-invasive procedure using magnetic fields and radio waves to create detailed images of your chest area. This aids in detecting any abnormalities, ensuring your health and well-being.

17 services16 patients

Nuclear medicine study whole body with ct scan 78816

A Nuclear Medicine Study with a CT Scan is a diagnostic procedure. It uses a small amount of radioactive substance and a CT scan to create detailed images of your body. These images help doctors diagnose, monitor, and treat various conditions.

13 services13 patients

Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279

13 services13 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Geisinger-Bloomsburg Hospital

Acute Care Hospitals · Bloomsburg, PA

OwnershipVoluntary non-profit - Private

CMS Certification Number390003

Location549 East Fair StreetBloomsburg, PA 17815 · Columbia County

Emergency services Birthing friendly

Geisinger Medical Center

Acute Care Hospitals · Danville, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390006

Location100 North Academy AvenueDanville, PA 17822 · Montour County

Emergency services Birthing friendly

Milton S Hershey Medical Center

Acute Care Hospitals · Hershey, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390256

Location500 University DriveHershey, PA 17033 · Dauphin County

Emergency services Birthing friendly

Geisinger Wyoming Valley Medical Center

Acute Care Hospitals · Wilkes Barre, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390270

Location1000 East Mountain BoulevardWilkes Barre, PA 18711 · Luzerne County

Emergency services Birthing friendly

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.

MR. DANIEL MICHAEL WEISS I PA-C

Physician Assistant

500 UNIVERSITY DR
HERSHEY, PA 17033

Dauphin County (717) 531-7299

NICOLE SWALLOW M.D.

Internal Medicine

500 UNIVERSITY DR, H088
HERSHEY, PA 17033

Dauphin County (717) 531-1692

NEERAV GOYAL M.D.

Otolaryngology

500 UNIVERSITY DR
HERSHEY, PA 17033

Dauphin County (717) 531-8521

KARIMA C FITZGERALD M.D.

Surgery (Trauma Surgery)

500 UNIVERSITY DR
HERSHEY, PA 17033

Dauphin County (717) 531-8887

DR. ANTHONY SIMON BONAVIA M.D.

Anesthesiology (Critical Care Medicine)

500 UNIVERSITY DR, BOX 3951, DAVISON BLDG, TRENT DRIVE
HERSHEY, PA 17033

Dauphin County (717) 531-8521

DR. HIROKO SHIKE MD

Pathology (Clinical Pathology/Laboratory Medicine)

500 UNIVERSITY DR, HERSHEY MEDICAL CENTER
HERSHEY, PA 17033

Dauphin County (717) 531-8615

MARIUM TARIQ M.D.

Family Medicine

500 UNIVERSITY DR
HERSHEY, PA 17033

Dauphin County (717) 531-8521

KANTHI BANGALORE KRISHNA MBBS

Pediatrics (Pediatric Endocrinology)

500 UNIVERSITY DR
HERSHEY, PA 17033

Dauphin County (800) 243-1455

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 Tatianie Jackson's NPI number?

The NPI number for Tatianie Jackson is 1528313558. It was assigned to this individual provider in the NPPES registry on July 16, 2012.

Where is Tatianie Jackson located?

Tatianie Jackson practices at 500 University Dr Mc Ca410, Hershey, PA 17033. The listed phone number is (175) 318-0447.

What is Tatianie Jackson's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Nuclear Radiology, with taxonomy code 2085N0904X.

Is Tatianie Jackson enrolled in Medicare?

Yes. Tatianie Jackson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Tatianie Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tatianie Jackson reassigns Medicare benefits to 5 organizations: The Milton S Hershey Medical Center Physicians Group (Hershey, PA), Geisinger Clinc (Richfield, PA), Geisinger-Hm Joint Venture LLC (Muncy, PA), Saint Vincent Radiological Associates Inc (Worcester, MA) and Lahey Clinic, Inc. (Burlington, MA). Each 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 Tatianie Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Tatianie Jackson affiliated with any hospitals?

According to CMS data, Tatianie Jackson is affiliated with Geisinger-Bloomsburg Hospital, Geisinger Medical Center, Milton S Hershey Medical Center and Geisinger Wyoming Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Tatianie Jackson was last updated on June 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.