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LISA M JACKSON ANP
NPI 1770775827
Nurse Practitioner in Anchorage, AK

Active since August 13, 2007PECOS EnrolledAccepts Medicare Assignment
6307 DEBARR RD STE C, ANCHORAGE, AK 99504(907) 333-7425(907) 333-7719 Get Directions Write a Review

NPPES record last updated: October 18, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Lisa M Jackson Anp NPPES

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

LISA M JACKSON ANP (NPI 1770775827) is an individual nurse practitioner in Anchorage, Alaska, licensed in Alaska (322) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1770775827
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameLISA M JACKSONCredential: ANP
Location Address6307 DEBARR RD STE CAnchorage, AK 99504-1783
Mailing Address6307 Debarr Rd Ste CAnchorage, AK 99504-1783 · (907) 333-7425 · Fax (907) 333-7719
Phone(907) 333-7425
Fax(907) 333-7719
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateAugust 13, 2007
Last NPPES UpdateOctober 18, 2007
✔ NPI 1770775827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in AK · 322
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
6307 DEBARR RD STE C, Anchorage, AK 99504
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Other Identifiers 2

Other1730113739AK · Group Npi
MedicaidNP6817AK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..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

Lisa M Jackson Anp 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 ID941394233
PECOS Enrollment IDI20080123000103
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 Reassignments

2

Medicare enrollment records show Lisa Jackson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Providence Health & Services- Washington
2.4 mi
Critical Care Medicine
3200 PROVIDENCE DR
Anchorage, AK 99508
  • Reassigned Medicare billing, Alaska enrollment
  • 228 clinicians in this Medicare group
NPI 1093956278 (907) 212-6002
Soldotna Family Practice LLC
67 mi
Primary Care
44604 STERLING HWY STE D
Soldotna, AK 99669
  • Reassigned Medicare billing, Alaska enrollment
  • 8 clinicians in this Medicare group
NPI 1326757949 (907) 420-0585

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 5

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
40 services26 patients
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.
33 services23 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
28 services20 patients
Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
18 services16 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.
15 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99504 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
$111.57 typical visit price
range $71.33 – $222.64
Typical copayment $27.89 (range $17.83 – $55.66)
Most-billed visit code 99203
Established Patient
$128.73 typical visit price
range $21.84 – $181.48
Typical copayment $32.18 (range $5.46 – $45.37)
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.

Other Providers at the Same Location NPPES 3

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

ISABEL VESELY
Nurse Practitioner (Family)
6307 DEBARR RD STE C
ANCHORAGE, AK 99504
Anchorage Municipality (907) 333-7425
BENNETT J JACKSON ANP
Nurse Practitioner
6307 DEBARR RD STE C
ANCHORAGE, AK 99504
Anchorage Municipality (907) 333-7425
FAYE SAI DUCHANIN PAC
Physician Assistant
6307 DEBARR RD STE C, PATIENTS FIRST MEDICAL CLINIC
ANCHORAGE, AK 99504
Anchorage Municipality (907) 333-7425

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 Lisa Jackson's NPI number?

The NPI number for Lisa Jackson is 1770775827. It was assigned to this individual provider in the NPPES registry on August 13, 2007.

Where is Lisa Jackson located?

Lisa Jackson practices at 6307 Debarr Rd Ste C, Anchorage, AK 99504. The listed phone number is (907) 333-7425.

What is Lisa Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Lisa Jackson enrolled in Medicare?

Yes. Lisa 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 Lisa Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Jackson reassigns Medicare benefits to 2 organizations: Providence Health & Services- Washington (Anchorage, AK) and Soldotna Family Practice LLC (Soldotna, AK). 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 Lisa Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Jackson accept?

Health plans from Moda Health Plan, Inc. list Lisa 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 Lisa Jackson was last updated on October 18, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.