DR. SHAUN WILLIAM JACKSON MD
NPI 1780845818
Pediatrics - Pediatric Nephrology in Seattle, WA
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
Specialties & Licenses 3
Accepted 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. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Shaun Jackson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Seattle, WA 98105
- Reassigned Medicare billing, Washington enrollment
- Medicare enrollment name: The Association Of Chrmc And University Physicians
- 1,443 clinicians in this Medicare group
Kent, WA 98030
- Reassigned Medicare billing, Washington enrollment
- 4,383 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, WAOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SEATTLE, WA 98105
SEATTLE, WA 98105
SEATTLE, WA 98105
SEATTLE, WA 98105
SEATTLE, WA 98105
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.
Which organizations bill Medicare for Shaun Jackson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shaun Jackson reassigns Medicare benefits to 2 organizations: Association Of Chmc And University Physicians (Seattle, WA) and Multicare Health System (Kent, WA). 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 Shaun Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shaun Jackson accept?
Health plans from 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.
# Dr. Shaun William Jackson, MD · NPI 1780845818
Pediatric Nephrology physician in Seattle, Washington. Individual provider, active in the CMS NPPES registry since June 20, 2008.
## Identity
- **NPI:** 1780845818 (Entity type: Individual)
- **Enumerated:** June 20, 2008
- **Primary specialty:** Pediatrics - Pediatric Nephrology · taxonomy 2080P0210X
- **State license:** MD60002199 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 4800 SAND POINT WAY NE, SEATTLE CHILDREN'S HOSPITAL, DIVISION OF NEPHROLOGY, Seattle, WA 98105
- **Phone:** (857) 891-6790
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Association Of Chmc And University Physicians (NPI 1649497827, Seattle, WA); Multicare Health System (NPI 1811949928, Kent, WA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2001
## Record status
- **NPPES last updated:** June 27, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1780845818) · Data from the CMS NPPES public registry.