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ILISSA D. JACKSON PA-C
NPI 1609838358
Physician Assistant in New York, NY

Active since April 06, 2006PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
100 EAST 77TH ST, LENOX HILL HOSPITAL-NSLIJHS, NEW YORK, NY 10075(516) 823-8010(516) 823-8290 Get Directions Write a Review

NPPES record last updated: April 12, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ilissa D. Jackson Pa-c NPPES

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

ILISSA D. JACKSON PA-C (NPI 1609838358) is an individual physician assistant in New York, New York, licensed in New York (23-015052) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Lenox Hill Hospital, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1609838358
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameILISSA D. JACKSONCredential: PA-C
Location Address100 EAST 77TH ST, LENOX HILL HOSPITAL-NSLIJHSNew York, NY 10075
Mailing Address1675 York Ave Apt 8eNew York, NY 10128-6738 · (954) 937-2579
Phone(516) 823-8010
Fax(516) 823-8290
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateApril 6, 2006
Last NPPES UpdateApril 12, 2012
✔ NPI 1609838358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in NY · 23-015052✔ Licensed in FL · PA9103627
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
100 EAST 77TH ST, New York, NY 10075
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Other Names 1

Other Name (5)Ilissa Reihs

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

Ilissa D. Jackson Pa-c 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 ID446261507
PECOS Enrollment IDI20111104000043
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

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.

Repair of groin hernia using an endoscope 49650
This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Lenox Hill Hospital

Acute Care Hospitals · New York, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330119
Location100 East 77th StreetNew York, NY 10021 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10075 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

MR. CHRISTOPHER M DIXON M.D
Urology
100 EAST 77TH ST, 4TH FLOOR, EAST BUILDING
NEW YORK, NY 10075
New York County (212) 604-1287
AARON POTASH MD
Pediatrics
100 EAST 77TH ST, DEPARTMENT OF PEDIATRICS
NEW YORK, NY 10075
New York County (212) 434-2135

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 Ilissa Jackson's NPI number?

The NPI number for Ilissa Jackson is 1609838358. It was assigned to this individual provider in the NPPES registry on April 6, 2006. The provider is also known as Ilissa Reihs.

Where is Ilissa Jackson located?

Ilissa Jackson practices at 100 East 77th St Lenox Hill Hospital-Nslijhs, New York, NY 10075. The listed phone number is (516) 823-8010.

What is Ilissa Jackson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Ilissa Jackson enrolled in Medicare?

Yes. Ilissa 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.

Is Ilissa Jackson affiliated with any hospitals?

According to CMS data, Ilissa Jackson is affiliated with Lenox Hill Hospital.

When was this NPI record last updated?

The NPPES record for Ilissa Jackson was last updated on April 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.