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

Active since October 12, 2006PECOS Enrolled
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: November 01, 2026.

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

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, maintains 2 additional practice locations, 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
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

Secondary Practice Locations 2

Location 1115 S Candy Ln, Suite C2Cottonwood, AZ 86326-4105 · Phone (928) 649-6736 · Fax (928) 649-6738
Location 22305 S Highway 65 Bldg AMarshall, MO 65340-3702 · Phone (660) 886-7800

Other Identifiers 2

Medicaid765156AZ
Medicaid5913321NC

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grace Elizabeth Jackson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4183760945
PECOS Enrollment IDI20260629000023
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.

Medicare Billing Reassignments

34

Medicare enrollment records show Grace Jackson reassigns Medicare billing to 34 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community/Behavioral Health
200 BROADWAY ST, SUITE 88
King City, CA 93930
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: County Of Monterey
  • 107 clinicians in this Medicare group
Psychiatry
1700 COFFEE RD
Modesto, CA 95355
  • Reassigned Medicare billing, California enrollment
  • 208 clinicians in this Medicare group
Neurology
455 SILICON VALLEY BLVD
San Jose, CA 95138
  • Reassigned Medicare billing, California enrollment
  • 112 clinicians in this Medicare group
Psychiatry
3095 TELEGRAPH AVE
Berkeley, CA 94705
  • Reassigned Medicare billing, California enrollment
  • 103 clinicians in this Medicare group
Critical Care Medicine
1420 ROCKY RIDGE DR STE 300
Roseville, CA 95661
  • Reassigned Medicare billing, California and Nevada enrollments
  • 46 clinicians in this Medicare group
Critical Care Medicine
1420 ROCKY RIDGE DR STE 300
Roseville, CA 95661
  • Reassigned Medicare billing, California, Michigan, Nevada and South Carolina enrollments
  • 48 clinicians in this Medicare group
Internal Medicine
100 W CALIFORNIA BLVD
Pasadena, CA 91105
  • Reassigned Medicare billing, California enrollment
  • 204 clinicians in this Medicare group
Multi-Specialty
12021 WILMINGTON AVE., BLDG. 11 SUITE 1000
Los Angeles, CA 90059
  • Reassigned Medicare billing, California enrollment
  • 554 clinicians in this Medicare group
Anesthesiology
350 TERRACINA BLVD
Redlands, CA 92373
  • Reassigned Medicare billing, California enrollment
  • 241 clinicians in this Medicare group
Psychiatry
830 LINCOLN ST
Lander, WY 82520
  • Reassigned Medicare billing, Wyoming enrollment
  • 66 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Social Worker (Clinical)
4441 E CESAR CHAVEZ BLVD
FRESNO, CA 93702
Marriage & Family Therapist
4441 E CESAR CHAVEZ BLVD
FRESNO, CA 93702
Licensed Vocational Nurse
4441 E CESAR CHAVEZ BLVD
FRESNO, CA 93702
Psychiatry & Neurology (Psychiatry)
4441 E CESAR CHAVEZ BLVD
FRESNO, CA 93702
Day Training/Habilitation Specialist
4441 E CESAR CHAVEZ BLVD
FRESNO, CA 93702
Student in an Organized Health Care Education/Training Program
4441 E CESAR CHAVEZ BLVD
FRESNO, CA 93702
Registered Nurse
4441 E CESAR CHAVEZ BLVD
FRESNO, CA 93702
Marriage & Family Therapist
4441 E CESAR CHAVEZ BLVD
FRESNO, CA 93702

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 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.

Where is Grace Jackson located?

Grace Jackson practices at 4441 E Cesar Chavez Blvd, Fresno, CA 93702. The listed phone number is (559) 600-9059.

What is Grace Jackson's specialty?

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

Is Grace Jackson enrolled in Medicare?

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

Which organizations bill Medicare for Grace Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Grace Jackson reassigns Medicare benefits to 34 organizations: County Of Monterey Behavioral Health (King City, CA), Cep America - Psychiatry PC (Modesto, CA), Precision Psychiatric Services Inc (San Jose, CA), Psychplus Associates Of California PC (Berkeley, CA), Veeone Medical Group II Professional Corporation (Roseville, CA) and 29 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Grace Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Grace Jackson accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Nebraska and CareSource and 7 other insurers list Grace 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 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 10 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.