IVETTE SYRA JACKSON APRN-NP
NPI 1699036756
Nurse Practitioner - Neonatal, Critical Care in Tacoma, WA

Active since June 06, 2012PECOS Enrolled
315 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405(253) 403-1000 Get Directions Write a Review

NPPES record last updated: September 30, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 3, 2025, Sep 24, 2020 (2 updates tracked since 2020).

About Ivette Syra Jackson Aprn-np NPPES

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

IVETTE SYRA JACKSON APRN-NP (NPI 1699036756) is an individual neonatal, critical care provider in Tacoma, Washington, licensed in Washington (AP61619732) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699036756
Entity TypeIndividualFemale
Primary Taxonomy363LN0005X
Provider Legal NameIVETTE SYRA JACKSONCredential: APRN-NP
Location Address315 MARTIN LUTHER KING JR WAYTacoma, WA 98405-4291
Mailing Address24312 E Main DrSammamish, WA 98074-3460 · (323) 449-0452
Sole ProprietorNo
Enumeration DateJune 6, 2012
Last NPPES UpdateSeptember 30, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2025
NPI 1699036756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Neonatal, Critical CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LN0005X
Licenses Licensed in WA · AP61619732 Licensed in NE · 111345 Licensed in FL · ARNP 9350748 Licensed in CA · 95007329
Also ListedNurse Practitioner · NeonatalTaxonomy 363LN0000X · License AP61619732 (WA)
315 MARTIN LUTHER KING JR WAY, Tacoma, WA 98405

Other Names 1

Former Name (1)Ivette Syra Yamamoto

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 (PECOS)

Ivette Syra Jackson Aprn-np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 98405 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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 20

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

Emergency Medicine
315 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Physician Assistant (Surgical)
315 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
General Practice
315 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Pharmacist (Pharmacotherapy)
315 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Emergency Medicine
315 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Family Medicine
315 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Nurse Practitioner
315 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Speech-Language Pathologist
315 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405

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 Ivette Jackson's NPI number?

The NPI number for Ivette Jackson is 1699036756. It was assigned to this individual provider in the NPPES registry on June 6, 2012. The provider is also known as Ivette Syra Yamamoto.

Where is Ivette Jackson located?

Ivette Jackson practices at 315 Martin Luther King Jr Way, Tacoma, WA 98405. The listed phone number is (253) 403-1000.

What is Ivette Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, Critical Care, with taxonomy code 363LN0005X.

Is Ivette Jackson enrolled in Medicare?

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

What insurance does Ivette Jackson accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Ivette 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 Ivette Jackson was last updated on September 30, 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.