1. Home
  2. Directory
  3. Pennsylvania
  4. Phoenixville
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

DR. AUBREY ANN JACKSON DO
NPI 1790489342
Student in an Organized Health Care Education/Training Program in Phoenixville, PA

Active since March 28, 2023PECOS EnrolledAccepts Medicare Assignment
140 NUTT RD, PHOENIXVILLE, PA 19460(610) 983-1000 Get Directions Write a Review

NPPES record last updated: April 4, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 4, 2026, Mar 28, 2023 (2 updates tracked since 2023).

About Dr. Aubrey Ann Jackson Do NPPES

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

DR. AUBREY ANN JACKSON DO (NPI 1790489342) is an individual student in an organized health care education/training program in Phoenixville, Pennsylvania and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in West Chester, and is a graduate of Liberty Univ College Of Osteopathic Medicine (2023).

NPPES Registry Identity

NPI1790489342
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. AUBREY ANN JACKSONCredential: DO
Location Address140 NUTT RDPhoenixville, PA 19460-3906
Mailing Address140 Nutt RdPhoenixville, PA 19460-3906 · (508) 210-9923
Phone(610) 983-1000
Sole ProprietorNo
Medical School CMSLiberty Univ College Of Osteopathic MedicineGraduated 2023
Enumeration DateMarch 28, 2023
Last NPPES UpdateApril 4, 20262 updates tracked since enumeration
NPPES CertifiedApril 4, 2026
✔ NPI 1790489342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License OS025216 (PA)
140 NUTT RD, Phoenixville, PA 19460
Open in Google Maps ↗

Secondary Practice Location 1

Location 1400 E Marshall StWest Chester, PA 19380-5412 · Phone (508) 210-9923

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. Aubrey Ann Jackson Do 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 ID9638637267
PECOS Enrollment IDI20260814000526
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 Reassignment

Medicare enrollment records show Aubrey Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Haven Behavioral Services Of West Chester, LLC
12 mi
Psychiatric Hospital
400 E MARSHALL ST
West Chester, PA 19380
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 26 clinicians in this Medicare group
NPI 1376248369 (484) 835-2050

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

BRENDAN TANNENBAUM DO
Student in an Organized Health Care Education/Training Program
140 NUTT RD
PHOENIXVILLE, PA 19460
Chester County (610) 983-1000
DANIEL MINUKHIN DO
Student in an Organized Health Care Education/Training Program
140 NUTT RD
PHOENIXVILLE, PA 19460
Chester County (610) 983-1000
MAHESH VASUDEVAN DO
Student in an Organized Health Care Education/Training Program
140 NUTT RD
PHOENIXVILLE, PA 19460
Chester County (610) 983-1000
RAJ K. SHARMA MD
Hospitalist
140 NUTT RD
PHOENIXVILLE, PA 19460
Chester County (610) 983-1000
DR. MOHAMED MUSTAFA DARWISH MD
Internal Medicine
140 NUTT RD
PHOENIXVILLE, PA 19460
Chester County (484) 921-7311
KRISTIN M SPIEGEL MD
Student in an Organized Health Care Education/Training Program
140 NUTT RD
PHOENIXVILLE, PA 19460
Chester County (610) 983-1000
DR. AYUSHI BISARIA DPM
Podiatrist (Foot & Ankle Surgery)
140 NUTT RD
PHOENIXVILLE, PA 19460
Chester County (610) 983-1000
LISA ANNE SANTORO CRNA
Nurse Anesthetist, Certified Registered
140 NUTT RD
PHOENIXVILLE, PA 19460
Chester County (610) 983-1000

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 Aubrey Jackson's NPI number?

The NPI number for Aubrey Jackson is 1790489342. It was assigned to this individual provider in the NPPES registry on March 28, 2023.

Where is Aubrey Jackson located?

Aubrey Jackson practices at 140 Nutt Rd, Phoenixville, PA 19460. The listed phone number is (610) 983-1000.

What is Aubrey Jackson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Aubrey Jackson enrolled in Medicare?

Yes. Aubrey 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 organization bills Medicare for Aubrey Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Aubrey Jackson reassigns Medicare benefits to Haven Behavioral Services Of West Chester, LLC (West Chester, PA). The 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 Aubrey Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Aubrey Jackson was last updated on April 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.