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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: November 01, 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
Phone(281) 313-6348
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
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINH33796TX
Medicare PIN00510VTX

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignment

Medicare enrollment records show Levonika Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Diabetes Relief Houston Westside Series, LLC
15 mi
Primary Care
11511 KATY FWY STE 100
Houston, TX 77079
  • Reassigned Medicare billing, Texas enrollment
  • 6 clinicians in this Medicare group
NPI 1225914468 (281) 600-5000

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

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.

COMPLETE HEALTH & WELLNESS
Specialist
4855 RIVERSTONE BLVD, STE 103
MISSOURI CITY, TX 77459
Fort Bend County (281) 825-3423
TINA LEE
Counselor (Professional)
4855 RIVERSTONE BLVD
MISSOURI CITY, TX 77459
Fort Bend County (832) 945-3139
DR. FREDERICK ANTHONY BROWN M.D.
Family Medicine
4855 RIVERSTONE BLVD, STE. 103
MISSOURI CITY, TX 77459
Fort Bend County (281) 313-6348
GENESIS HEALTH AND WELLNESS, PA
Family Medicine (Adult Medicine)
4855 RIVERSTONE BLVD, STE. 103
MISSOURI CITY, TX 77459
Fort Bend County (281) 313-6348

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.

Which organization bills Medicare for Levonika Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Levonika Jackson reassigns Medicare benefits to Diabetes Relief Houston Westside Series, LLC (Houston, TX). The 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 Levonika Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.