RUSLANA JACKSON NP
NPI 1740515931
Nurse Practitioner - Adult Health in New York, NY
About Ruslana Jackson Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RUSLANA JACKSON NP (NPI 1740515931) is an individual adult health provider in New York, New York, licensed in New York (F305212-1) and active in the NPI registry since October 2009. She is enrolled in Medicare PECOS, is affiliated with New York-presbyterian Hospital, and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses
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
Ruslana Jackson Np 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
2Medicare enrollment records show Ruslana Jackson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New York, NY 10032
- Reassigned Medicare billing, New York enrollment
- 3,922 clinicians in this Medicare group
New York, NY 10032
- Reassigned Medicare billing, New York enrollment
- 124 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 2
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
New York-Presbyterian Hospital
Acute Care Hospitals · New York, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10032 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 10
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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 Ruslana Jackson's NPI number?
The NPI number for Ruslana Jackson is 1740515931. It was assigned to this individual provider in the NPPES registry on October 6, 2009.
Where is Ruslana Jackson located?
Ruslana Jackson practices at 622 W 168th St Ph 12, New York, NY 10032. The listed phone number is (212) 305-4625.
What is Ruslana Jackson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Ruslana Jackson enrolled in Medicare?
Yes. Ruslana 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 organizations bill Medicare for Ruslana Jackson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ruslana Jackson reassigns Medicare benefits to 2 organizations: Trustees Of Columbia University In The City Of New York (New York, NY) and The Trustees Of Columbia University In The City Of New York (New York, NY). 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 Ruslana Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Ruslana Jackson affiliated with any hospitals?
According to CMS data, Ruslana Jackson is affiliated with New York-Presbyterian Hospital.
When was this NPI record last updated?
The NPPES record for Ruslana Jackson was last updated on May 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Ruslana Jackson, NP · NPI 1740515931
Adult Health physician in New York, New York. Individual provider, active in the CMS NPPES registry since October 6, 2009.
## Identity
- **NPI:** 1740515931 (Entity type: Individual)
- **Enumerated:** October 6, 2009
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** F305212-1 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 622 W 168TH ST PH 12, New York, NY 10032-3720
- **Phone:** (212) 305-4625 · **Fax:** (212) 305-8304
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Trustees Of Columbia University In The City Of New York (NPI 1477068971, New York, NY); The Trustees Of Columbia University In The City Of New York (NPI 1265598783, New York, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** May 16, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1740515931) · Data from the CMS NPPES public registry.