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RUSLANA JACKSON NP
NPI 1740515931
Nurse Practitioner - Adult Health in New York, NY

Active since October 06, 2009PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
622 W 168TH ST PH 12, NEW YORK, NY 10032(212) 305-4625(212) 305-8304 Get Directions Write a Review

NPPES record last updated: May 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 16, 2023, Apr 27, 2018 (2 updates tracked since 2018).

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 and is a graduate of Other (2009).

NPPES Registry Identity

NPI1740515931
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameRUSLANA JACKSONCredential: NP
Location Address622 W 168TH ST PH 12New York, NY 10032-3720
Mailing Address622 W 168th StNew York, NY 10032-3720 · (212) 342-3926 · Fax (212) 305-8304
Phone(212) 305-4625
Fax(212) 305-8304
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateOctober 6, 2009
Last NPPES UpdateMay 16, 20232 updates tracked since enumeration
NPPES CertifiedMay 16, 2023
✔ NPI 1740515931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · F305212-1
622 W 168TH ST PH 12, New York, NY 10032
Open in Google Maps ↗

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

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.

PECOS PAC ID6507055563
PECOS Enrollment IDI20110106001047
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 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.

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.
23 services21 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
12 services12 patients

Physician 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.

New Patient
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.8
Promoting Interoperability100
Improvement Activities40

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.

Cyclosporine, oral, 100 mg J7502
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers18 claims1,620 services$1.71 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
27 suppliers346 claims33,249 services$0.31 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
8 suppliers86 claims10,847 services$0.01 avg. paid by Medicare
Cyclosporine, oral, 25 mg J7515
Treatment-Treatment - Miscellaneous · category RX029N
7 suppliers46 claims7,175 services$0.58 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
20 suppliers123 claims14,594 services$0.18 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
6 suppliers43 claims5,378 services$0.90 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

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.