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RUSSELL PATRICK JACKSON
NPI 1699322578
Physician Assistant - Medical in Casa Grande, AZ

Active since August 24, 2019PECOS EnrolledAccepts Medicare Assignment
301 E COTTONWOOD LN STE 1&2, CASA GRANDE, AZ 85122(602) 569-3999(520) 340-4359 Get Directions Write a Review

NPPES record last updated: September 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 6, 2024, May 4, 2022, Aug 24, 2019 (3 updates tracked since 2019).

About Russell Patrick Jackson NPPES

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

RUSSELL PATRICK JACKSON (NPI 1699322578) is an individual medical provider in Casa Grande, Arizona, licensed in Arizona (8654) and active in the NPI registry since August 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1699322578
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameRUSSELL PATRICK JACKSON
Location Address301 E COTTONWOOD LN STE 1&2Casa Grande, AZ 85122-2551
Mailing Address1753 E Cortez DrCasa Grande, AZ 85122-6319 · (801) 310-0819
Phone(602) 569-3999
Fax(520) 340-4359
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 24, 2019
Last NPPES UpdateSeptember 6, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2024
✔ NPI 1699322578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in AZ · 8654
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
301 E COTTONWOOD LN STE 1&2, Casa Grande, AZ 85122
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. 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

Russell Patrick Jackson 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 ID9234529660
PECOS Enrollment IDI20211129002204
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 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
121 services49 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
21 services21 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
19 services16 patients

Other Providers at the Same Location NPPES

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

NATALIE T TRUJILLO PA
Physician Assistant
301 E COTTONWOOD LN STE 1&2
CASA GRANDE, AZ 85122
Pinal County (602) 569-3999

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 Russell Jackson's NPI number?

The NPI number for Russell Jackson is 1699322578. It was assigned to this individual provider in the NPPES registry on August 24, 2019.

Where is Russell Jackson located?

Russell Jackson practices at 301 E Cottonwood Ln Ste 1&2, Casa Grande, AZ 85122. The listed phone number is (602) 569-3999.

What is Russell Jackson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Russell Jackson enrolled in Medicare?

Yes. Russell 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 Russell Jackson accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and UnitedHealthcare list Russell 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 Russell Jackson was last updated on September 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.