1. Home
  2. Directory
  3. Vermont
  4. Williston
  5. Pediatrics
  6. NPI Profile

PAMELA LEE JACKSON M.D.
NPI 1619905072
Pediatrics in Williston, VT

Active since June 28, 2006PECOS Enrolled
353 BLAIR PARK RD, WILLISTON, VT 05495(802) 847-1440(802) 847-3014 Get Directions Write a Review

NPPES record last updated: January 8, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pamela Lee Jackson M.d. NPPES

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

PAMELA LEE JACKSON M.D. (NPI 1619905072) is an individual pediatrics provider in Williston, Vermont, licensed in Vermont (42-0008559) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619905072
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NamePAMELA LEE JACKSONCredential: M.D.
Location Address353 BLAIR PARK RDWilliston, VT 05495-7530
Mailing Address4 Harbor Ridge RdSouth Burlington, VT 05403-7849 · (802) 863-8962
Phone(802) 847-1440
Fax(802) 847-3014
Sole ProprietorNo
Enumeration DateJune 28, 2006
Last NPPES UpdateJanuary 8, 2015
✔ NPI 1619905072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in VT · 42-0008559
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
353 BLAIR PARK RD, Williston, VT 05495
Open in Google Maps ↗

Other Identifiers 3

MedicaidOVN0393VT
Medicare UPINE47494VT
MedicaidE01148865NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pamela Lee Jackson M.d. 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 05495 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
$85.89 typical visit price
range $55.80 – $168.48
Typical copayment $21.47 (range $13.95 – $42.12)
Most-billed visit code 99203
Established Patient
$98.40 typical visit price
range $18.08 – $137.84
Typical copayment $24.60 (range $4.52 – $34.46)
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 20

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

DR. LUCY MILLER MD
Internal Medicine
353 BLAIR PARK RD
WILLISTON, VT 05495
Chittenden County (802) 847-1470
MS. SHANNON R RUSSOM N.P.
Nurse Practitioner (Family)
353 BLAIR PARK RD
WILLISTON, VT 05495
Chittenden County (802) 847-1600
DR. DENNIS ARMAND PLANTE MD
Internal Medicine
353 BLAIR PARK RD
WILLISTON, VT 05495
Chittenden County (802) 847-1470
FLETCHER ALLEN HEALTH CARE-BLAIR PARK
Durable Medical Equipment & Medical Supplies
353 BLAIR PARK RD
WILLISTON, VT 05495
Chittenden County (802) 847-1600
MICHELLE TAMARA SHEPARD M.D., PHD.
Pediatrics
353 BLAIR PARK RD
WILLISTON, VT 05495
Chittenden County (802) 847-1440
ELISA VAUTIER RN
Nurse Practitioner
353 BLAIR PARK RD
WILLISTON, VT 05495
Chittenden County (802) 847-1470
KARYN HARVEY FAREVAAG NP
Nurse Practitioner
353 BLAIR PARK RD
WILLISTON, VT 05495
Chittenden County (802) 847-1470
KAREN GIBBS
Nurse Practitioner
353 BLAIR PARK RD
WILLISTON, VT 05495
Chittenden County (802) 847-1470

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 Pamela Jackson's NPI number?

The NPI number for Pamela Jackson is 1619905072. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is Pamela Jackson located?

Pamela Jackson practices at 353 Blair Park Rd, Williston, VT 05495. The listed phone number is (802) 847-1440.

What is Pamela Jackson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Pamela Jackson enrolled in Medicare?

Yes. Pamela Jackson is registered in the Medicare PECOS enrollment system.

What insurance does Pamela Jackson accept?

Health plans from Anthem Blue Cross and Blue Shield list Pamela 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 Pamela Jackson was last updated on January 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.