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LATOSHA JACKSON
NPI 1720885155
Nurse Practitioner - Psychiatric/Mental Health in Rosharon, TX

Active since February 25, 2025PECOS EnrolledAccepts Medicare Assignment
10603 JUNIPER BRANCH DR, ROSHARON, TX 77583(510) 853-4896 Get Directions Write a Review

NPPES record last updated: February 26, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Latosha Jackson NPPES

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

LATOSHA JACKSON (NPI 1720885155) is an individual psychiatric/mental health provider in Rosharon, Texas, licensed in Texas (1180974) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1720885155
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameLATOSHA JACKSON
Location Address10603 JUNIPER BRANCH DRRosharon, TX 77583-4216
Mailing Address10603 Juniper Branch DrRosharon, TX 77583-4216 · (510) 853-4896
Phone(510) 853-4896
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 25, 2025
Last NPPES UpdateFebruary 26, 2025
NPPES CertifiedFebruary 26, 2025
✔ NPI 1720885155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in TX · 1180974
10603 JUNIPER BRANCH DR, Rosharon, TX 77583
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Cigna Healthcare, Oscar Insurance Company and more.Insurance ›

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

Latosha 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 ID6800350588
PECOS Enrollment IDI20260714001931
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 Latosha Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cip Associates PLLC
1,237 mi
Psychiatry
1629 K ST NW STE 300
Washington, DC 20006
  • Reassigned Medicare billing, Texas enrollment
  • 3 clinicians in this Medicare group
NPI 1528883188 (281) 500-8416

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 77583 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
$88.15 typical visit price
range $57.16 – $172.89
Typical copayment $22.03 (range $14.29 – $43.22)
Most-billed visit code 99203
Established Patient
$100.84 typical visit price
range $18.45 – $141.27
Typical copayment $25.21 (range $4.61 – $35.31)
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.

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 Latosha Jackson's NPI number?

The NPI number for Latosha Jackson is 1720885155. It was assigned to this individual provider in the NPPES registry on February 25, 2025.

Where is Latosha Jackson located?

Latosha Jackson practices at 10603 Juniper Branch Dr, Rosharon, TX 77583. The listed phone number is (510) 853-4896.

What is Latosha Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Latosha Jackson enrolled in Medicare?

Yes. Latosha 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 Latosha Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Latosha Jackson reassigns Medicare benefits to Cip Associates PLLC (Washington, DC). 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 Latosha Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Latosha Jackson accept?

Health plans from Blue Cross and Blue Shield of Texas, Cigna Healthcare, Oscar Insurance Company and UnitedHealthcare list Latosha 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 Latosha Jackson was last updated on February 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.