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DR. ANNISE JACKSON M.D.
NPI 1770979858
Psychiatry & Neurology - Psychiatry in Lexington, MA

Active since April 15, 2015PECOS EnrolledAccepts Medicare Assignment
33 BEDFORD ST STE 11, LEXINGTON, MA 02420(781) 825-5390 Get Directions Write a Review

NPPES record last updated: July 12, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 12, 2023, May 7, 2022 (2 updates tracked since 2022).

About Dr. Annise Jackson M.d. NPPES

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

DR. ANNISE JACKSON M.D. (NPI 1770979858) is an individual psychiatry provider in Lexington, Massachusetts, licensed in Massachusetts (280649) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, is affiliated with Lahey Hospital & Medical Center, Burlington, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1770979858
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. ANNISE JACKSONCredential: M.D.
Location Address33 BEDFORD ST STE 11Lexington, MA 02420-4403
Mailing Address33 Bedford St Ste 11Lexington, MA 02420-4403 · (781) 825-5390
Phone(781) 825-5390
Sole ProprietorYes
Medical School CMSGeorge Washington University School Of MedicineGraduated 2015
Enumeration DateApril 15, 2015
Last NPPES UpdateJuly 12, 20232 updates tracked since enumeration
NPPES CertifiedJuly 12, 2023
✔ NPI 1770979858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in MA · 280649
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
33 BEDFORD ST STE 11, Lexington, MA 02420
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1715 Albany St, M-8th FloorBoston, MA 02118-2526 · Phone (617) 638-4920 · Fax (617) 414-1996
Location 241 Mall RdBurlington, MA 01805-4403 · Phone (781) 744-8000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care, Taro Health.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

Dr. Annise Jackson M.d. 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 ID8921313495
PECOS Enrollment IDI20191223001529
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

5

Medicare enrollment records show Annise Jackson reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lahey Clinic, Inc.
4.7 mi
Internal Medicine
41 MALL RD, LAHEY CLINIC
Burlington, MA 01805
  • Reassigned Medicare billing, Massachusetts enrollment
  • Also billed through NPI 1063447316 (Massachusetts)
  • 1,574 clinicians in this Medicare group
NPI 1538194980 (781) 744-8000
Steward Medical Group, Inc
6.6 mi
Specialist
9 GALEN ST
Watertown, MA 02472
  • Reassigned Medicare billing, Massachusetts enrollment
  • 991 clinicians in this Medicare group
NPI 1629398219 (615) 467-4474
First Psychiatric Planners, Inc
10 mi
Psychiatric Hospital
300 SOUTH ST
Brookline, MA 02467
  • Reassigned Medicare billing, Massachusetts enrollment
  • 34 clinicians in this Medicare group
NPI 1093714412 (617) 469-0300
Community Medical Associates, Inc.
18 mi
Family Medicine
25 MARSTON ST STE 301
Lawrence, MA 01841
  • Reassigned Medicare billing, Massachusetts enrollment
  • 305 clinicians in this Medicare group
NPI 1144544040 (978) 683-4000
Lg Newcorp Inc
19 mi
Psychiatric Unit
70 EAST ST
Methuen, MA 01844
  • Reassigned Medicare billing, Massachusetts enrollment
  • 15 clinicians in this Medicare group
NPI 1033936810 (978) 946-8366

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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
95 services40 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
32 services18 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
28 services27 patients

Hospital Affiliations CMS Care Compare

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

Lahey Hospital & Medical Center, Burlington

Acute Care Hospitals · Burlington, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220171
Location41 & 45 Mall RoadBurlington, MA 01803 · Middlesex County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02420 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
$189.86 typical visit price
range $63.72 – $189.86
Typical copayment $47.46 (range $15.93 – $47.46)
Most-billed visit code 99205
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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 3

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

JACKSON CLINIC LLC
Psychiatry & Neurology (Psychiatry)
33 BEDFORD ST STE 11
LEXINGTON, MA 02420
Middlesex County (781) 825-5390
GERARD FOO, PHD, PC
Psychologist
33 BEDFORD ST STE 11
LEXINGTON, MA 02420
Middlesex County (612) 310-8286
MR. RICHARD HARRISON IV LICSW
Social Worker (Clinical)
33 BEDFORD ST STE 11
LEXINGTON, MA 02420
Middlesex County (617) 949-0859

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 Annise Jackson's NPI number?

The NPI number for Annise Jackson is 1770979858. It was assigned to this individual provider in the NPPES registry on April 15, 2015.

Where is Annise Jackson located?

Annise Jackson practices at 33 Bedford St Ste 11, Lexington, MA 02420. The listed phone number is (781) 825-5390.

What is Annise Jackson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Annise Jackson enrolled in Medicare?

Yes. Annise 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 Annise Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Annise Jackson reassigns Medicare benefits to 5 organizations: Lahey Clinic, Inc. (Burlington, MA), Steward Medical Group, Inc (Watertown, MA), First Psychiatric Planners, Inc (Brookline, MA), Community Medical Associates, Inc. (Lawrence, MA) and Lg Newcorp Inc (Methuen, MA). 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 Annise Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Annise Jackson accept?

Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and Taro Health list Annise 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.

Is Annise Jackson affiliated with any hospitals?

According to CMS data, Annise Jackson is affiliated with Lahey Hospital & Medical Center, Burlington.

When was this NPI record last updated?

The NPPES record for Annise Jackson was last updated on July 12, 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.