ELIZABETH JACKSON
NPI 1578743977
Nurse Practitioner - Neonatal in Richmond, VA

Q: What is Elizabeth Jackson's NPI number?

The NPI number for Elizabeth Jackson is 1578743977. It was assigned to this individual provider in the NPPES registry on November 14, 2007.

Q: What is Elizabeth Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.

Q: When was this NPI record last updated?

The NPPES record for Elizabeth Jackson was last updated on November 14, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 November 14, 2007PECOS Enrolled

412 LIBBIE AVE, SUITE 4, RICHMOND, VA 23226(804) 282-8082(804) 282-9082 Get Directions Write a Review

NPPES record last updated: November 14, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Elizabeth Jackson NPPES

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

ELIZABETH JACKSON (NPI 1578743977) is an individual neonatal provider in Richmond, Virginia, licensed in Virginia (0024165734) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578743977

Entity TypeIndividualFemale

Primary Taxonomy363LN0000X

Provider Legal NameELIZABETH JACKSON

Location Address412 LIBBIE AVE, SUITE 4Richmond, VA 23226-2659

Mailing Address412 Libbie Ave, Suite 4Richmond, VA 23226-2659 · (804) 282-8082 · Fax (804) 282-9082

Phone(804) 282-8082

Fax(804) 282-9082

Sole ProprietorNo

Enumeration DateNovember 14, 2007

✔ NPI 1578743977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LN0000X

License✔ Licensed in VA · 0024165734

412 LIBBIE AVE, Richmond, VA 23226

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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)

Elizabeth Jackson 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 23226 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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 14

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

BEVERLY MALLON

Nurse Practitioner (Neonatal)