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: July 19, 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 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
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

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 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Needle biopsy of prostate gland using image guidance 55706
A needle biopsy of the prostate gland using image guidance is a procedure where a small sample of tissue is collected for testing. This is done with the help of images to ensure precision. It helps doctors diagnose and treat potential health issues.
16 services16 patients

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
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.

Pediatrics
100 EAST 77TH ST, DEPARTMENT OF PEDIATRICS
NEW YORK, NY 10075
Urology
100 EAST 77TH ST, 4TH FLOOR, EAST BUILDING
NEW YORK, NY 10075

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609838358, enumerated as an "individual" on April 06, 2006.

The provider is located at 100 EAST 77TH ST LENOX HILL HOSPITAL-NSLIJHS NEW YORK, NY 10075 and the phone number is (516) 823-8010.

Physician Assistant with taxonomy code 363A00000X.