GRACE ELIZABETH JACKSON MD
NPI 1659460814
Psychiatry & Neurology - Psychiatry in Fresno, CA

Q: What is Grace Jackson's NPI number?

The NPI number for Grace Jackson is 1659460814. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Q: What is Grace Jackson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Grace Jackson was last updated on December 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since October 12, 2006PECOS EnrolledAccepts Medicare Assignment

4441 E CESAR CHAVEZ BLVD, FRESNO, CA 93702(559) 600-9059 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 9, 2025, Aug 5, 2025, Jun 27, 2025 and 7 more (10 updates tracked since 2020).

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About Grace Elizabeth Jackson Md NPPES

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

GRACE ELIZABETH JACKSON MD (NPI 1659460814) is an individual psychiatry provider in Fresno, California, licensed in Illinois (036154094) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Colorado School Of Medicine, Denver (1996).

NPPES Registry Identity

NPI1659460814

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameGRACE ELIZABETH JACKSONCredential: MD

Location Address4441 E CESAR CHAVEZ BLVDFresno, CA 93702-3604

Mailing Address2160 S 1st AveMaywood, IL 60153-3328 · (708) 216-9000

Phone(559) 600-9059

Sole ProprietorYes

Medical School CMSUniversity Of Colorado School Of Medicine, DenverGraduated 1996

Enumeration DateOctober 12, 2006

Last NPPES UpdateDecember 9, 202510 updates tracked since enumeration

NPPES CertifiedDecember 9, 2025

✔ NPI 1659460814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Licenses✔ Licensed in IL · 036154094✔ Licensed in WV · 30325✔ Licensed in NV · 15320✔ Licensed in MD · D0090940✔ Licensed in WY · 12228A✔ Licensed in CA · C56001✔ Licensed in NC · 200200922✔ Licensed in HI · MD-17101✔ Licensed in AZ · 46710✔ Licensed in TN · 63217

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

4441 E CESAR CHAVEZ BLVD, Fresno, CA 93702

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Other Identifiers 2

Medicaid765156AZ

Medicaid5913321NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Highmark Blue Cross Blue Shield West Virginia, HMO Louisiana and more.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

Grace Elizabeth Jackson Md 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 ID4183760945

PECOS Enrollment IDI20190927001442

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 2

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

35 services34 patients

Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth G0427

A Telehealth consultation is a virtual visit where you can discuss your health concerns with a healthcare provider from the comfort of your home. In this process, which typically lasts 70 minutes or more, the provider can assess, diagnose, and offer treatment options for your condition using communication technology.

28 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93702 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

$176.60 typical visit price

range $58.87 – $176.60

Typical copayment $44.15 (range $14.71 – $44.15)

Most-billed visit code 99205

Established Patient

$73.16 typical visit price

range $19.28 – $144.60

Typical copayment $18.29 (range $4.82 – $36.15)

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.

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.

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