MRS. KALYSE DANAE JACKSON RN, NP
NPI 1801427448
Nurse Practitioner - Family in Palmdale, CA
About Mrs. Kalyse Danae Jackson Rn, Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KALYSE DANAE JACKSON RN, NP (NPI 1801427448) is an individual family provider in Palmdale, California, licensed in California (95014247) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
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
Mrs. Kalyse Danae Jackson Rn, Np 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 Reassignment
Medicare enrollment records show Kalyse Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lancaster, CA 93535
- Reassigned Medicare billing, California enrollment
- 1,939 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 93551 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PALMDALE, CA 93551
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 Kalyse Jackson's NPI number?
The NPI number for Kalyse Jackson is 1801427448. It was assigned to this individual provider in the NPPES registry on February 2, 2020. The provider is also known as Calice Danae Jackson Rn.
Where is Kalyse Jackson located?
Kalyse Jackson practices at 1405 W Rancho Vista Blvd, Palmdale, CA 93551. The listed phone number is (373) 783-9423.
What is Kalyse Jackson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kalyse Jackson enrolled in Medicare?
Yes. Kalyse 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 Kalyse Jackson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kalyse Jackson reassigns Medicare benefits to County Of Los Angeles (Lancaster, CA). 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 Kalyse 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 Kalyse Jackson was last updated on March 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Mrs. Kalyse Danae Jackson, RN, NP · NPI 1801427448
Family physician in Palmdale, California. Individual provider, active in the CMS NPPES registry since February 2, 2020.
## Identity
- **NPI:** 1801427448 (Entity type: Individual)
- **Enumerated:** February 2, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95014247 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1405 W RANCHO VISTA BLVD, Palmdale, CA 93551-3968
- **Phone:** (373) 783-9423
## 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:** County Of Los Angeles (NPI 1437344884, Lancaster, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** March 19, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1801427448) · Data from the CMS NPPES public registry.