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DANIELLE LYNN JACKSON
NPI 1649041708
Physician Assistant in Erie, PA

Active since January 09, 2024PECOS EnrolledAccepts Medicare Assignment
2617 VANDALIA AVE, ERIE, PA 16511(814) 746-2477 Get Directions Write a Review

NPPES record last updated: January 9, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Danielle Lynn Jackson NPPES

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

DANIELLE LYNN JACKSON (NPI 1649041708) is an individual physician assistant in Erie, Pennsylvania and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS, is affiliated with St Clair Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1649041708
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameDANIELLE LYNN JACKSON
Location Address2617 VANDALIA AVEErie, PA 16511-1263
Mailing Address2617 Vandalia AveErie, PA 16511-1263
Phone(814) 746-2477
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJanuary 9, 2024
NPPES CertifiedJanuary 9, 2024
✔ NPI 1649041708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
2617 VANDALIA AVE, Erie, PA 16511
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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

Danielle Lynn Jackson 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 ID1355833989
PECOS Enrollment IDI20251121001801
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.

Hospital Affiliations CMS Care Compare

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

St Clair Hospital

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390228
Location1000 Bower Hill RoadPittsburgh, PA 15243 · Allegheny County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16511 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

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 Danielle Jackson's NPI number?

The NPI number for Danielle Jackson is 1649041708. It was assigned to this individual provider in the NPPES registry on January 9, 2024.

Where is Danielle Jackson located?

Danielle Jackson practices at 2617 Vandalia Ave, Erie, PA 16511. The listed phone number is (814) 746-2477.

What is Danielle Jackson's specialty?

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

Is Danielle Jackson enrolled in Medicare?

Yes. Danielle 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 Danielle Jackson affiliated with any hospitals?

According to CMS data, Danielle Jackson is affiliated with St Clair Hospital.

When was this NPI record last updated?

The NPPES record for Danielle Jackson was last updated on January 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.