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DELISA JACKSON NP
NPI 1699527010
Nurse Practitioner - Family in Hayward, CA

Active since April 02, 2024PECOS Enrolled
27206 CALAROGA AVE STE 203, HAYWARD, CA 94545(341) 234-0414 Get Directions Write a Review

NPPES record last updated: January 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 21, 2026, Feb 11, 2025, May 2, 2024 and 1 more (4 updates tracked since 2024).

About Delisa Jackson Np NPPES

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

DELISA JACKSON NP (NPI 1699527010) is an individual family provider in Hayward, California, licensed in California (NP95028931) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699527010
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDELISA JACKSONCredential: NP
Location Address27206 CALAROGA AVE STE 203Hayward, CA 94545-4300
Mailing Address27206 Calaroga Ave Ste 203Hayward, CA 94545-4300 · (341) 234-0414
Phone(341) 234-0414
Sole ProprietorNo
Enumeration DateApril 2, 2024
Last NPPES UpdateJanuary 21, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2026
✔ NPI 1699527010 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 CA · NP95028931
27206 CALAROGA AVE STE 203, Hayward, CA 94545
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Delisa Jackson 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 94545 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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

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

EVERSIDE HEALTH-CA IRONWORKERS-HAYWARD
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)
27206 CALAROGA AVE STE 203
HAYWARD, CA 94545
Alameda County (704) 661-1380

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 Delisa Jackson's NPI number?

The NPI number for Delisa Jackson is 1699527010. It was assigned to this individual provider in the NPPES registry on April 2, 2024.

Where is Delisa Jackson located?

Delisa Jackson practices at 27206 Calaroga Ave Ste 203, Hayward, CA 94545. The listed phone number is (341) 234-0414.

What is Delisa Jackson's specialty?

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

Is Delisa Jackson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Delisa Jackson was last updated on January 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.