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ANGEL JACKSON PMHNP
NPI 1609300102
Nurse Practitioner - Psychiatric/Mental Health in San Antonio, TX

Active since April 12, 2017PECOS EnrolledAccepts Medicare Assignment
5119 BECKWITH BLVD STE 105, SAN ANTONIO, TX 78249(210) 366-3700(210) 265-1442 Get Directions Write a Review

NPPES record last updated: October 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Angel Jackson Pmhnp NPPES

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

ANGEL JACKSON PMHNP (NPI 1609300102) is an individual psychiatric/mental health provider in San Antonio, Texas, licensed in Texas (1024242) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1609300102
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameANGEL JACKSONCredential: PMHNP
Location Address5119 BECKWITH BLVD STE 105San Antonio, TX 78249-2277
Mailing Address911 Central Pkwy N Ste 300San Antonio, TX 78232-5053 · (800) 404-6050 · Fax (866) 313-3397
Phone(210) 366-3700
Fax(210) 265-1442
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateApril 12, 2017
Last NPPES UpdateOctober 29, 2024
NPPES CertifiedOctober 29, 2024
✔ NPI 1609300102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in TX · 1024242
Also ListedChiropractorTaxonomy 111N00000X · License 13441 (TX)
5119 BECKWITH BLVD STE 105, San Antonio, TX 78249
Open in Google Maps ↗

Other Names 1

Former Name (1)Angel Chambers Dc

Other Identifiers 2

Other13441TX · Texas Board Of Chiropractic Examiners
Other1024242TX · Texas Board Of Nursing

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company, UnitedHealthcare.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

Angel Jackson Pmhnp 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 ID3072043355
PECOS Enrollment IDI20250217001430
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 78249 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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

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

CASSANDRA SORIANO LPC
Counselor (Mental Health)
5119 BECKWITH BLVD STE 105
SAN ANTONIO, TX 78249
Bexar County (210) 366-3700

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 Angel Jackson's NPI number?

The NPI number for Angel Jackson is 1609300102. It was assigned to this individual provider in the NPPES registry on April 12, 2017. The provider is also known as Angel Chambers Dc.

Where is Angel Jackson located?

Angel Jackson practices at 5119 Beckwith Blvd Ste 105, San Antonio, TX 78249. The listed phone number is (210) 366-3700.

What is Angel Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Angel Jackson enrolled in Medicare?

Yes. Angel 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 Angel Jackson accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company and UnitedHealthcare list Angel 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 Angel Jackson was last updated on October 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.