MARLISCHA JACKSON
NPI 1801399019
Nurse Practitioner in San Antonio, TX

Q: What is Marlischa Jackson's NPI number?

The NPI number for Marlischa Jackson is 1801399019. It was assigned to this individual provider in the NPPES registry on March 14, 2018.

Q: What is Marlischa Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Marlischa Jackson was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 March 14, 2018PECOS Enrolled

86.29/100

CMS Quality Rating

21970 BULVERDE RD STE 103, SAN ANTONIO, TX 78259(210) 625-5708(888) 227-1442 Get Directions Write a Review

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

Record update history: Mar 4, 2026, Jan 21, 2026, Mar 14, 2018 (3 updates tracked since 2018).

On this page

About Marlischa Jackson NPPES

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

MARLISCHA JACKSON (NPI 1801399019) is an individual nurse practitioner in San Antonio, Texas, licensed in Texas (AP136994) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801399019

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMARLISCHA JACKSON

Location Address21970 BULVERDE RD STE 103San Antonio, TX 78259-2179

Mailing Address21970 Bulverde Rd Ste 103San Antonio, TX 78259-2179 · (210) 625-5708 · Fax (888) 227-1442

Phone(210) 625-5708

Fax(888) 227-1442

Sole ProprietorYes

Enumeration DateMarch 14, 2018

Last NPPES UpdateMarch 4, 20263 updates tracked since enumeration

NPPES CertifiedMarch 4, 2026

✔ NPI 1801399019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in TX · AP136994

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License AP136994 (TX)

Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License AP136994 (TX)

21970 BULVERDE RD STE 103, San Antonio, TX 78259

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marlischa Jackson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

Medicare enrollment records show Marlischa Jackson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Concussive And Cognitive Diagnostics PLLC

8.6 mi

Internal Medicine

10300 HERITAGE ST STE 140
San Antonio, TX 78216

Reassigned Medicare billing, Texas enrollment
6 clinicians in this Medicare group

NPI 1689243156 (210) 441-2557

Doctors On The Go PLLC

8.6 mi

Family

10300 HERITAGE ST STE 250
San Antonio, TX 78216

Reassigned Medicare billing, Texas enrollment
8 clinicians in this Medicare group

NPI 1750035242 (316) 369-0106

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

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350

An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.

90 services61 patients

Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 99345

A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.

35 services35 patients

Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) G0506

This service involves a thorough evaluation of patients needing ongoing care for chronic conditions. It includes creating a tailored care plan, coordinating with healthcare providers, and monitoring progress regularly. The goal is to provide optimal, personalized care for your long-term health needs.

24 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78259 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.29/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

79.36

Improvement Activities

Cost

92.14

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 Marlischa Jackson's NPI number?

The NPI number for Marlischa Jackson is 1801399019. It was assigned to this individual provider in the NPPES registry on March 14, 2018.

Where is Marlischa Jackson located?

Marlischa Jackson practices at 21970 Bulverde Rd Ste 103, San Antonio, TX 78259. The listed phone number is (210) 625-5708.

What is Marlischa Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Marlischa Jackson enrolled in Medicare?

Yes. Marlischa Jackson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Marlischa Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marlischa Jackson reassigns Medicare benefits to 2 organizations: Concussive And Cognitive Diagnostics PLLC (San Antonio, TX) and Doctors On The Go PLLC (San Antonio, TX). 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 Marlischa Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marlischa Jackson accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Marlischa 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.

When was this NPI record last updated?

The NPPES record for Marlischa Jackson was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.