MRS. DANIELLE CAITLIN JACKSON
NPI 1770112179
Physician Assistant in Plainfield, IN

Q: What is Danielle Jackson's NPI number?

The NPI number for Danielle Jackson is 1770112179. It was assigned to this individual provider in the NPPES registry on April 7, 2020.

Q: What is Danielle Jackson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Danielle Jackson was last updated on November 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 07, 2020PECOS EnrolledAccepts Medicare Assignment

1100 SOUTHFIELD DR STE 1220, PLAINFIELD, IN 46168(317) 838-3443(317) 838-3444 Get Directions Write a Review

NPPES record last updated: November 4, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 4, 2021, Sep 24, 2021, Aug 11, 2020 and 1 more (4 updates tracked since 2020).

On this page

About Mrs. Danielle Caitlin Jackson NPPES

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

MRS. DANIELLE CAITLIN JACKSON (NPI 1770112179) is an individual physician assistant in Plainfield, Indiana, licensed in Indiana (10003155A) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Hendricks Regional Health, and maintains a secondary practice location in Anderson.

NPPES Registry Identity

NPI1770112179

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMRS. DANIELLE CAITLIN JACKSON

Location Address1100 SOUTHFIELD DR STE 1220Plainfield, IN 46168-4499

Mailing Address1100 Southfield Dr, Ste 1220Plainfield, IN 46168-4499 · (317) 838-3443 · Fax (317) 838-3444

Phone(317) 838-3443

Fax(317) 838-3444

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateApril 7, 2020

Last NPPES UpdateNovember 4, 20214 updates tracked since enumeration

NPPES CertifiedNovember 4, 2021

✔ NPI 1770112179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in IN · 10003155A

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1100 SOUTHFIELD DR STE 1220, Plainfield, IN 46168

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Secondary Practice Location 1

Location 11515 N Madison AveAnderson, IN 46011-3453 · Phone (765) 298-4242

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

Mrs. Danielle Caitlin 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 ID244637007

PECOS Enrollment IDI20210921001513

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 6

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.

107 services91 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

78 services69 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

15 services15 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

13 services12 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

12 services12 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hendricks Regional Health

Acute Care Hospitals · Danville, IN

5/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number150005

Location1000 E Main StDanville, IN 46122 · Hendricks County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46168 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

Most-billed visit code 99213

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 9

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

DR. TYLER MICHAEL FROMM MD

Internal Medicine