ERICA ALEAS JACKSON FNP-C
NPI 1790679298
Nurse Practitioner - Family in San Diego, CA

Q: What is Erica Jackson's NPI number?

The NPI number for Erica Jackson is 1790679298. It was assigned to this individual provider in the NPPES registry on June 7, 2025.

Q: What is Erica Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Erica Jackson was last updated on June 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since June 07, 2025PECOS EnrolledAccepts Medicare Assignment

3327 ROSECRANS ST, SAN DIEGO, CA 92110(866) 389-2727 Get Directions Write a Review

NPPES record last updated: June 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Erica Aleas Jackson Fnp-c NPPES

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

ERICA ALEAS JACKSON FNP-C (NPI 1790679298) is an individual family provider in San Diego, California, licensed in California (95035480) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1790679298

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameERICA ALEAS JACKSONCredential: FNP-C

Location Address3327 ROSECRANS STSan Diego, CA 92110-4223

Mailing Address3327 Rosecrans StSan Diego, CA 92110-4223

Phone(866) 389-2727

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJune 7, 2025

NPPES CertifiedJune 5, 2025

✔ NPI 1790679298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95035480

3327 ROSECRANS ST, San Diego, CA 92110

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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

Erica Aleas Jackson Fnp-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.

PECOS PAC ID9032624267

PECOS Enrollment IDI20250716000519

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 12

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

KELLY SHAKYA

Nurse Practitioner (Family)