ANNA PAVLOVNA JACKSON PNP-PC
NPI 1801439542
Internal Medicine - Geriatric Medicine in Loxahatchee, FL

Active since October 25, 2019PECOS EnrolledAccepts Medicare Assignment
11327 OKEECHOBEE BLVD, STE 2 & 3, MEDICAL MALL 2, SUITE 224, LOXAHATCHEE, FL 33470(561) 340-1615(561) 340-4026 Get Directions Write a Review

NPPES record last updated: November 6, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 6, 2023, Jul 11, 2023, Oct 25, 2019 (3 updates tracked since 2019).

About Anna Pavlovna Jackson Pnp-pc NPPES

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

ANNA PAVLOVNA JACKSON PNP-PC (NPI 1801439542) is an individual geriatric medicine provider in Loxahatchee, Florida, licensed in Florida (APRB11004601) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and is a graduate of Florida International Univ, College Of Medicine (2019).

NPPES Registry Identity

NPI1801439542
Entity TypeIndividualFemale
Primary Taxonomy207RG0300X
Provider Legal NameANNA PAVLOVNA JACKSONCredential: PNP-PC
Location Address11327 OKEECHOBEE BLVD, STE 2 & 3, MEDICAL MALL 2, SUITE 224Loxahatchee, FL 33470
Mailing Address11327 Okeechobee Blvd, Ste 2 & 3Loxahatchee, FL 33470 · (561) 340-1615 · Fax (561) 340-4026
Fax(561) 340-4026
Sole ProprietorNo
Medical School CMSFlorida International Univ, College Of MedicineGraduated 2019
Enumeration DateOctober 25, 2019
Last NPPES UpdateNovember 6, 20233 updates tracked since enumeration
NPPES CertifiedNovember 3, 2023
NPI 1801439542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License Licensed in FL · APRB11004601
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License 11004601 (FL)
11327 OKEECHOBEE BLVD, STE 2 & 3, Loxahatchee, FL 33470

Accepted Insurance

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

Anna Pavlovna Jackson Pnp-pc 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 ID5890129704
PECOS Enrollment IDI20200102000205
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 33470 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
$179.05 typical visit price
range $58.56 – $179.05
Typical copayment $44.76 (range $14.64 – $44.76)
Most-billed visit code 99205
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

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 Anna Jackson's NPI number?

The NPI number for Anna Jackson is 1801439542. It was assigned to this individual provider in the NPPES registry on October 25, 2019.

Where is Anna Jackson located?

Anna Jackson practices at 11327 Okeechobee Blvd, Ste 2 & 3 Medical Mall 2, Suite 224, Loxahatchee, FL 33470. The listed phone number is (561) 340-1615.

What is Anna Jackson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Anna Jackson enrolled in Medicare?

Yes. Anna 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.

What insurance does Anna Jackson accept?

Health plans from AvMed and Oscar Health Maintenance Organization of Florida list Anna 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 Anna Jackson was last updated on November 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.