LEVONIKA JACKSON NP
NPI 1669868113
Nurse Practitioner - Family in Missouri City, TX

Active since April 11, 2015PECOS EnrolledAccepts Medicare Assignment
4855 RIVERSTONE BLVD, 103, MISSOURI CITY, TX 77459(281) 313-6348(281) 313-6349 Get Directions Write a Review

NPPES record last updated: April 11, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Levonika Jackson Np NPPES

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

LEVONIKA JACKSON NP (NPI 1669868113) is an individual family provider in Missouri City, Texas, licensed in Texas (AP127933) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1669868113
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLEVONIKA JACKSONCredential: NP
Location Address4855 RIVERSTONE BLVD, 103Missouri City, TX 77459-4377
Mailing Address4855 Riverstone Blvd, 103Missouri City, TX 77459-4377 · (281) 313-6348 · Fax (281) 313-6349
Fax(281) 313-6349
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 11, 2015
NPI 1669868113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TX · AP127933
4855 RIVERSTONE BLVD, Missouri City, TX 77459

Other Identifiers 2

Medicare UPINH33796TX
Medicare PIN00510VTX

Accepted 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

Levonika Jackson Np 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 ID2062887920
PECOS Enrollment IDI20230405002898
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 77459 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 4

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

Specialist
4855 RIVERSTONE BLVD, STE 103
MISSOURI CITY, TX 77459
Counselor (Professional)
4855 RIVERSTONE BLVD
MISSOURI CITY, TX 77459
Family Medicine
4855 RIVERSTONE BLVD, STE. 103
MISSOURI CITY, TX 77459
Family Medicine (Adult Medicine)
4855 RIVERSTONE BLVD, STE. 103
MISSOURI CITY, TX 77459

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 Levonika Jackson's NPI number?

The NPI number for Levonika Jackson is 1669868113. It was assigned to this individual provider in the NPPES registry on April 11, 2015.

Where is Levonika Jackson located?

Levonika Jackson practices at 4855 Riverstone Blvd 103, Missouri City, TX 77459. The listed phone number is (281) 313-6348.

What is Levonika Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Levonika Jackson enrolled in Medicare?

Yes. Levonika 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.

What insurance does Levonika Jackson accept?

Health plans from Molina Healthcare list Levonika 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 Levonika Jackson was last updated on April 11, 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.