DR. SHAUN WILLIAM JACKSON MD
NPI 1780845818
Pediatrics - Pediatric Nephrology in Seattle, WA

Q: What is Shaun Jackson's NPI number?

The NPI number for Shaun Jackson is 1780845818. It was assigned to this individual provider in the NPPES registry on June 20, 2008.

Q: What is Shaun Jackson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Nephrology, with taxonomy code 2080P0210X.

Q: When was this NPI record last updated?

The NPPES record for Shaun Jackson was last updated on June 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 June 20, 2008PECOS EnrolledAccepts Medicare Assignment

4800 SAND POINT WAY NE, SEATTLE CHILDREN'S HOSPITAL, DIVISION OF NEPHROLOGY, SEATTLE, WA 98105(857) 891-6790 Get Directions Write a Review

NPPES record last updated: June 27, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Shaun William Jackson Md NPPES

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

DR. SHAUN WILLIAM JACKSON MD (NPI 1780845818) is an individual pediatric nephrology provider in Seattle, Washington, licensed in Washington (MD60002199) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Seattle Children's Hospital, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1780845818

Entity TypeIndividualMale

Primary Taxonomy2080P0210X

Provider Legal NameDR. SHAUN WILLIAM JACKSONCredential: MD

Location Address4800 SAND POINT WAY NE, SEATTLE CHILDREN'S HOSPITAL, DIVISION OF NEPHROLOGYSeattle, WA 98105

Mailing Address4800 Sand Point Way Ne, Seattle Children's Hospital, Division Of NephrologySeattle, WA 98105-3901 · (857) 891-6790

Phone(857) 891-6790

Sole ProprietorNo

Medical School CMSOtherGraduated 2001

Enumeration DateJune 20, 2008

Last NPPES UpdateJune 27, 2018

✔ NPI 1780845818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0210X

License✔ Licensed in WA · MD60002199

Definition

A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.

Also ListedPediatricsTaxonomy 208000000X · License 225159 (MA)

Also ListedPediatrics · Pediatric RheumatologyTaxonomy 2080P0216X · License MD60002199 (WA)

4800 SAND POINT WAY NE, Seattle, WA 98105

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Dr. Shaun William Jackson Md 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 ID8224285648

PECOS Enrollment IDI20120820001006

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.

Seattle Children's Hospital

Childrens · Seattle, WA

OwnershipVoluntary non-profit - Private

CMS Certification Number503300

Location4800 Sand Point Way NE, PO Box C-5371Seattle, WA 98105 · King 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.

NALINI MALARKKAN MD

Anesthesiology

4800 SAND POINT WAY NE
SEATTLE, WA 98105

King County (206) 987-2728

MS. LINDA E EBLEN MA

Speech-Language Pathologist

4800 SAND POINT WAY NE, MAIL STOP W-6839
SEATTLE, WA 98105

King County (206) 987-6164

DR. JAMES TOLIVER BENNETT JR. M.D., PH.D.

Medical Genetics (Clinical Molecular Genetics)

4800 SAND POINT WAY NE, GENETIC MEDICINE
SEATTLE, WA 98105

King County (206) 987-2056

DR. LESLIE ANN DERVAN MD

Pediatrics (Pediatric Critical Care Medicine)

4800 SAND POINT WAY NE, MB.10.620
SEATTLE, WA 98105

King County (206) 987-0293

DR. INDI TREHAN MD

Pediatrics (Pediatric Infectious Diseases)

4800 SAND POINT WAY NE
SEATTLE, WA 98105

King County (206) 987-2000

MS. JENNIFER PATANO CNP

Nurse Practitioner (Pediatrics)

4800 SAND POINT WAY NE, MS O.7.720
SEATTLE, WA 98105

King County (206) 987-8949

MRS. SUSAN L HOLTZCLAW ARNP

Nurse Practitioner (Family)

4800 SAND POINT WAY NE, MAILSTOP T-2108
SEATTLE, WA 98105

King County (206) 987-5691

SHENG ZHOU MD

Otolaryngology (Pediatric Otolaryngology)

4800 SAND POINT WAY NE
SEATTLE, WA 98105

King County (206) 987-2105

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 Shaun Jackson's NPI number?

The NPI number for Shaun Jackson is 1780845818. It was assigned to this individual provider in the NPPES registry on June 20, 2008.

Where is Shaun Jackson located?

Shaun Jackson practices at 4800 Sand Point Way NE Seattle Children's Hospital, Division Of Nephrology, Seattle, WA 98105. The listed phone number is (857) 891-6790.

What is Shaun Jackson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Nephrology, with taxonomy code 2080P0210X.

Is Shaun Jackson enrolled in Medicare?

Yes. Shaun 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.

What insurance does Shaun Jackson accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Shaun 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 Shaun Jackson affiliated with any hospitals?

According to CMS data, Shaun Jackson is affiliated with Seattle Children's Hospital.

When was this NPI record last updated?

The NPPES record for Shaun Jackson was last updated on June 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.