JESSICA JACKSON PA-C
NPI 1780055285
Physician Assistant - Surgical in Joliet, IL
About Jessica Jackson Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSICA JACKSON PA-C (NPI 1780055285) is an individual surgical provider in Joliet, Illinois, licensed in Illinois (085.005695) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS, is affiliated with Morris Hospital & Healthcare Centers, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
Jessica Jackson Pa-c 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Morris Hospital & Healthcare Centers
Acute Care Hospitals · Morris, ILOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jessica Jackson's NPI number?
The NPI number for Jessica Jackson is 1780055285. It was assigned to this individual provider in the NPPES registry on October 12, 2015. The provider is also known as Jessica Stoeberl Pa-C.
Where is Jessica Jackson located?
Jessica Jackson practices at 330 Madison St Ste 104, Joliet, IL 60435. The listed phone number is (815) 725-3440.
What is Jessica Jackson's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Jessica Jackson enrolled in Medicare?
Yes. Jessica 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.
Is Jessica Jackson affiliated with any hospitals?
According to CMS data, Jessica Jackson is affiliated with Morris Hospital & Healthcare Centers.
When was this NPI record last updated?
The NPPES record for Jessica Jackson was last updated on May 10, 2022. 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.
# Jessica Jackson, PA-C · NPI 1780055285
Surgical physician in Joliet, Illinois. Individual provider, active in the CMS NPPES registry since October 12, 2015.
## Identity
- **NPI:** 1780055285 (Entity type: Individual)
- **Enumerated:** October 12, 2015
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** 085.005695 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 330 MADISON ST STE 104, Joliet, IL 60435-6572
- **Phone:** (815) 725-3440
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** May 10, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1780055285) · Data from the CMS NPPES public registry.