IMMANUEL JACKSON DO
NPI 1598452864
Internal Medicine in Lansing, MI
About Immanuel Jackson Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IMMANUEL JACKSON DO (NPI 1598452864) is an individual internal medicine provider in Lansing, Michigan, licensed in Michigan (5101029445) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS and is a graduate of Michigan State University College Of Osteopathic Medicine (2023).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Immanuel Jackson Do 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.
Medicare Billing Reassignments
2Medicare enrollment records show Immanuel Jackson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lansing, MI 48912
- Reassigned Medicare billing, Michigan enrollment
- 916 clinicians in this Medicare group
Lansing, MI 48912
- Reassigned Medicare billing, Michigan enrollment
- 104 clinicians in this Medicare group
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 48912 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LANSING, MI 48912
LANSING, MI 48912
LANSING, MI 48912
LANSING, MI 48912
LANSING, MI 48912
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 Immanuel Jackson's NPI number?
The NPI number for Immanuel Jackson is 1598452864. It was assigned to this individual provider in the NPPES registry on April 18, 2023.
Where is Immanuel Jackson located?
Immanuel Jackson practices at 1215 E Michigan Ave, Lansing, MI 48912. The listed phone number is (517) 364-1000.
What is Immanuel Jackson's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Immanuel Jackson enrolled in Medicare?
Yes. Immanuel 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 Immanuel Jackson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Immanuel Jackson reassigns Medicare benefits to 2 organizations: Edward W Sparrow Hospital Association (Lansing, MI) and Sparrow Specialty Hospital (Lansing, MI). 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 Immanuel Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Immanuel Jackson accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Immanuel 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.
When was this NPI record last updated?
The NPPES record for Immanuel Jackson was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Immanuel Jackson, DO · NPI 1598452864
Internal Medicine physician in Lansing, Michigan. Individual provider, active in the CMS NPPES registry since April 18, 2023.
## Identity
- **NPI:** 1598452864 (Entity type: Individual)
- **Enumerated:** April 18, 2023
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 5101029445 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 1215 E MICHIGAN AVE, Lansing, MI 48912-1811
- **Phone:** (517) 364-1000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Edward W Sparrow Hospital Association (NPI 1346609930, Lansing, MI); Sparrow Specialty Hospital (NPI 1437655842, Lansing, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Michigan State University College Of Osteopathic Medicine, class of 2023
## Record status
- **NPPES last updated:** May 28, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1598452864) · Data from the CMS NPPES public registry.