DR. JACKSON CHEN DO
NPI 1710480892
Family Medicine in Manchester, CT
About Dr. Jackson Chen Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JACKSON CHEN DO (NPI 1710480892) is an individual family medicine provider in Manchester, Connecticut, licensed in Connecticut (69038) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Other Identifiers 1
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
Dr. Jackson Chen Do 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.
Medicare Billing Reassignments
4Medicare enrollment records show Jackson Chen reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Manchester, CT 06040
- Reassigned Medicare billing, Connecticut enrollment
- 130 clinicians in this Medicare group
Manchester, CT 06040
- Reassigned Medicare billing, Connecticut enrollment
- 422 clinicians in this Medicare group
Hartford, CT 06105
- Reassigned Medicare billing, Connecticut enrollment
- 1,186 clinicians in this Medicare group
Brockton, MA 02301
- Reassigned Medicare billing, Connecticut enrollment
- 34 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 10
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06040 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MANCHESTER, CT 06040
MANCHESTER, CT 06040
MANCHESTER, CT 06040
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 Jackson Chen's NPI number?
The NPI number for Jackson Chen is 1710480892. It was assigned to this individual provider in the NPPES registry on March 14, 2018.
Where is Jackson Chen located?
Jackson Chen practices at 71 Haynes St, Manchester, CT 06040. The listed phone number is (860) 533-4679.
What is Jackson Chen's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Jackson Chen enrolled in Medicare?
Yes. Jackson Chen 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 organizations bill Medicare for Jackson Chen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jackson Chen reassigns Medicare benefits to 4 organizations: Hospitalist Medicine Physicians Of Connecticut, LLC (Manchester, CT), Prospect Ct Medical Foundation, Inc. (Manchester, CT), Trinity Health Of New England Provider Network Organization Inc (Hartford, CT) and Sound Physicians Of Massachusetts II PC (Brockton, MA). Each 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 Jackson Chen'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 Jackson Chen was last updated on July 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Jackson Chen, DO · NPI 1710480892
Family Medicine physician in Manchester, Connecticut. Individual provider, active in the CMS NPPES registry since March 14, 2018.
## Identity
- **NPI:** 1710480892 (Entity type: Individual)
- **Enumerated:** March 14, 2018
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 69038 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 71 HAYNES ST, Manchester, CT 06040-4131
- **Phone:** (860) 533-4679
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Hospitalist Medicine Physicians Of Connecticut, LLC (NPI 1558696153, Manchester, CT); Prospect Ct Medical Foundation, Inc. (NPI 1144677568, Manchester, CT); Trinity Health Of New England Provider Network Organization Inc (NPI 1003882812, Hartford, CT); Sound Physicians Of Massachusetts II PC (NPI 1306376397, Brockton, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** July 3, 2021
- **Other identifiers:** Medicaid 1710480892 (CT)
---
Source: [NPI Profile](https://npiprofile.com/npi/1710480892) · Data from the CMS NPPES public registry.