EMILEE THERESA JACKSON PA-C
NPI 1811762552
Internal Medicine - Gastroenterology in Pittsburgh, PA

Active since November 22, 2023PECOS EnrolledAccepts Medicare Assignment
1400 LOCUST ST FL 5, PITTSBURGH, PA 15219(412) 232-8888(412) 232-8887 Get Directions Write a Review

NPPES record last updated: November 22, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Emilee Theresa Jackson Pa-c NPPES

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

EMILEE THERESA JACKSON PA-C (NPI 1811762552) is an individual gastroenterology provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MA065238) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS, is affiliated with Upmc Presbyterian Shadyside, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1811762552
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameEMILEE THERESA JACKSONCredential: PA-C
Location Address1400 LOCUST ST FL 5Pittsburgh, PA 15219-5114
Mailing Address1400 Main St Apt 435dCanonsburg, PA 15317-6805
Fax(412) 232-8887
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateNovember 22, 2023
NPPES CertifiedNovember 22, 2023
NPI 1811762552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in PA · MA065238
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1400 LOCUST ST FL 5, Pittsburgh, PA 15219

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

Emilee Theresa Jackson Pa-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 ID3375992456
PECOS Enrollment IDI20231214002144
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.

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
55 services40 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
47 services37 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
14 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390164
Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15219 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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 Emilee Jackson's NPI number?

The NPI number for Emilee Jackson is 1811762552. It was assigned to this individual provider in the NPPES registry on November 22, 2023.

Where is Emilee Jackson located?

Emilee Jackson practices at 1400 Locust St Fl 5, Pittsburgh, PA 15219. The listed phone number is (412) 232-8888.

What is Emilee Jackson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Emilee Jackson enrolled in Medicare?

Yes. Emilee 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.

Is Emilee Jackson affiliated with any hospitals?

According to CMS data, Emilee Jackson is affiliated with Upmc Presbyterian Shadyside.

When was this NPI record last updated?

The NPPES record for Emilee Jackson was last updated on November 22, 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.