MRS. ALYCIA WAI LIN JACKSON M.D.
NPI 1568807410
Family Medicine in Clackamas, OR

Q: What is Alycia Jackson's NPI number?

The NPI number for Alycia Jackson is 1568807410. It was assigned to this individual provider in the NPPES registry on May 6, 2013. The provider is also known as Miss Alycia Wai Lin Yee M.D..

Q: What is Alycia Jackson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Alycia Jackson was last updated on February 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 May 06, 2013PECOS EnrolledAccepts Medicare Assignment

9290 SE SUNNYBROOK BLVD, #120, CLACKAMAS, OR 97015(503) 215-2110(503) 215-2115 Get Directions Write a Review

NPPES record last updated: February 8, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Alycia Wai Lin Jackson M.d. NPPES

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

MRS. ALYCIA WAI LIN JACKSON M.D. (NPI 1568807410) is an individual family medicine provider in Clackamas, Oregon, licensed in Oregon (MD180196) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS, is affiliated with Ohsu Hospital And Clinics, and is a graduate of University Of Hawaii John A. Burns School Of Medicine (2013).

NPPES Registry Identity

NPI1568807410

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameMRS. ALYCIA WAI LIN JACKSONCredential: M.D.

Location Address9290 SE SUNNYBROOK BLVD, #120Clackamas, OR 97015-6899

Mailing Address9290 Se Sunnybrook Blvd, #120Clackamas, OR 97015-6899 · (503) 215-2110 · Fax (503) 215-2115

Phone(503) 215-2110

Fax(503) 215-2115

Sole ProprietorNo

Medical School CMSUniversity Of Hawaii John A. Burns School Of MedicineGraduated 2013

Enumeration DateMay 6, 2013

Last NPPES UpdateFebruary 8, 2017

✔ NPI 1568807410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in OR · MD180196✔ Licensed in CA · A133720

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

9290 SE SUNNYBROOK BLVD, Clackamas, OR 97015

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Other Names 1

Former Name (1)Miss Alycia Wai Lin Yee M.d.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Alycia Wai Lin Jackson M.d. 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 ID1658685029

PECOS Enrollment IDI20170704000000

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.

Areas of Expertise CMS Part B claims 4

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

65 services44 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

29 services17 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

17 services14 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Ohsu Hospital And Clinics

Acute Care Hospitals · Portland, OR

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number380009

Location3181 SW Sam Jackson Park RoadPortland, OR 97239 · Multnomah County

Emergency services Birthing friendly

Hillsboro Medical Center

Acute Care Hospitals · Hillsboro, OR

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380021

Location335 SE 8th AvenueHillsboro, OR 97123 · Washington County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97015 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

$90.51 typical visit price

range $58.99 – $176.88

Typical copayment $22.62 (range $14.74 – $44.22)

Most-billed visit code 99203

Established Patient

$103.51 typical visit price

range $19.32 – $144.79

Typical copayment $25.87 (range $4.83 – $36.19)

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.

ALICE C NAYAK MD

Internal Medicine

9290 SE SUNNYBROOK BLVD, SUITE 120
CLACKAMAS, OR 97015

Clackamas County (503) 215-2110

DR. MICHELLE SHEPHERD COMBS PYS.D.

Psychologist (Clinical)

9290 SE SUNNYBROOK BLVD
CLACKAMAS, OR 97015

Clackamas County (503) 215-2110

NAVIN N NAYAK MD

Internal Medicine

9290 SE SUNNYBROOK BLVD, SUITE 120
CLACKAMAS, OR 97015

Clackamas County (503) 215-2110

MARY KATHRYN BROWN MD

Pediatrics

9290 SE SUNNYBROOK BLVD, SUITE 200
CLACKAMAS, OR 97015

Clackamas County (503) 659-1694

WALTER F GEORGE MD

Internal Medicine

9290 SE SUNNYBROOK BLVD, SUITE 210
CLACKAMAS, OR 97015

Clackamas County (503) 216-7960

MINDI L ROBINSON MD

Family Medicine

9290 SE SUNNYBROOK BLVD, SUITE 120
CLACKAMAS, OR 97015

Clackamas County (503) 215-2110

MAGDALENA MARTA KASPROWSKA M.D.

Internal Medicine

9290 SE SUNNYBROOK BLVD, SUITE 120
CLACKAMAS, OR 97015

Clackamas County (503) 215-2110

MRS. OLIVIA MARIE GORDON M.A. MFT

Marriage & Family Therapist

9290 SE SUNNYBROOK BLVD, SUITE 200
CLACKAMAS, OR 97015

Clackamas County (503) 659-1694

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 Alycia Jackson's NPI number?

The NPI number for Alycia Jackson is 1568807410. It was assigned to this individual provider in the NPPES registry on May 6, 2013. The provider is also known as Miss Alycia Wai Lin Yee M.D..

Where is Alycia Jackson located?

Alycia Jackson practices at 9290 SE Sunnybrook Blvd #120, Clackamas, OR 97015. The listed phone number is (503) 215-2110.

What is Alycia Jackson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Alycia Jackson enrolled in Medicare?

Yes. Alycia 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.

What insurance does Alycia Jackson accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Alycia 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.

Is Alycia Jackson affiliated with any hospitals?

According to CMS data, Alycia Jackson is affiliated with Ohsu Hospital And Clinics and Hillsboro Medical Center.

When was this NPI record last updated?

The NPPES record for Alycia Jackson was last updated on February 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.