SHAWN JACKSON MD, PHD
NPI 1780078915
Pediatrics - Pediatric Critical Care Medicine in Boston, MA

Q: What is Shawn Jackson's NPI number?

The NPI number for Shawn Jackson is 1780078915. It was assigned to this individual provider in the NPPES registry on March 25, 2015.

Q: What is Shawn Jackson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Shawn Jackson was last updated on April 24, 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.

Active since March 25, 2015PECOS EnrolledAccepts Medicare Assignment

300 LONGWOOD AVE, BOSTON CHILDRENS HOSPITAL, HUNNEWELL BLDG, PAVILION 129, BOSTON, MA 02115(617) 355-8241 Get Directions Write a Review

NPPES record last updated: April 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 3, 2020, Jun 12, 2020 (2 updates tracked since 2020).

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About Shawn Jackson Md, Phd NPPES

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

SHAWN JACKSON MD, PHD (NPI 1780078915) is an individual pediatric critical care medicine provider in Boston, Massachusetts, licensed in Massachusetts (273433) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS, is affiliated with Boston Children's Hospital, and maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1780078915

Entity TypeIndividualMale

Primary Taxonomy2080P0203X

Provider Legal NameSHAWN JACKSONCredential: MD, PHD

Location Address300 LONGWOOD AVE, BOSTON CHILDRENS HOSPITAL, HUNNEWELL BLDG, PAVILION 129Boston, MA 02115-5724

Mailing Address300 Longwood Ave, Bader 3216Boston, MA 02115-5724 · (617) 355-8241

Phone(617) 355-8241

Sole ProprietorNo

Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2015

Enumeration DateMarch 25, 2015

Last NPPES UpdateApril 24, 20232 updates tracked since enumeration

NPPES CertifiedJuly 20, 2021

✔ NPI 1780078915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in MA · 273433

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Also ListedAnesthesiologyTaxonomy 207L00000X · License 273433 (MA)

Also ListedAnesthesiology · Pediatric AnesthesiologyTaxonomy 207LP3000X · License 273433 (MA)

Also ListedPediatricsTaxonomy 208000000X · License 273433 (MA)

300 LONGWOOD AVE, Boston, MA 02115

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Secondary Practice Location 1

Location 175 Francis StBoston, MA 02115-6110 · Phone (617) 732-5500

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

Shawn Jackson Md, Phd 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 ID6608161591

PECOS Enrollment IDI20201030000180

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.

Hospital Affiliations CMS Care Compare

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

Boston Children's Hospital

Childrens · Boston, MA

OwnershipVoluntary non-profit - Private

CMS Certification Number223302

Location300 Longwood AvenueBoston, MA 02115 · Suffolk County

Emergency services

Other Providers at the Same Location NPPES 20

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

JULIE ANN HANSEN LCSW

Social Worker (Clinical)

300 LONGWOOD AVE
BOSTON, MA 02115

Suffolk County (857) 218-4309

MS. ANNA ROGLIERI

Nurse Practitioner (Psychiatric/Mental Health)

300 LONGWOOD AVE
BOSTON, MA 02115

Suffolk County (617) 355-6000

STEPHEN G. FLYNN M.D.

Anesthesiology (Pediatric Anesthesiology)

300 LONGWOOD AVE
BOSTON, MA 02115

Suffolk County (617) 355-6000

MISS LAUREN ASHLEY MASTERSON P.T., D.P.T

Physical Therapist

300 LONGWOOD AVE
BOSTON, MA 02115

Suffolk County (617) 355-7216

MS. SOYUN KWAN LICSW

Social Worker (Clinical)

300 LONGWOOD AVE, CHILDREN'S HOSPITAL BOSTON
BOSTON, MA 02115

Suffolk County (617) 355-0567

PUJA BANKA M.D.

Pediatrics

300 LONGWOOD AVE, BADER 203
BOSTON, MA 02115

Suffolk County (617) 355-6363

MR. COURTNEY SULLIVAN FRATTO CPNP

Nurse Practitioner (Pediatrics)

300 LONGWOOD AVE, HUNNEWELL BUILDING 322
BOSTON, MA 02115

Suffolk County (857) 218-4085

DR. ELIZABETH S TAGLAUER M.D., PH.D.

Pediatrics (Neonatal-Perinatal Medicine)

300 LONGWOOD AVE
BOSTON, MA 02115

Suffolk County (617) 355-6000

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 Shawn Jackson's NPI number?

The NPI number for Shawn Jackson is 1780078915. It was assigned to this individual provider in the NPPES registry on March 25, 2015.

Where is Shawn Jackson located?

Shawn Jackson practices at 300 Longwood Ave Boston Childrens Hospital, Hunnewell Bldg, Pavilion 129, Boston, MA 02115. The listed phone number is (617) 355-8241.

What is Shawn Jackson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Shawn Jackson enrolled in Medicare?

Yes. Shawn 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 Shawn Jackson affiliated with any hospitals?

According to CMS data, Shawn Jackson is affiliated with Boston Children's Hospital.

When was this NPI record last updated?

The NPPES record for Shawn Jackson was last updated on April 24, 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.