DR. AMANDA SUE JACKSON M.D.
NPI 1811906316
Pediatrics in Gonzales, CA

Active since August 05, 2006PECOS Enrolled
850 5TH ST, GONZALES, CA 93926(831) 675-3601 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 25, 2024, Jun 25, 2024, Oct 20, 2022 and 1 more (4 updates tracked since 2022).

About Dr. Amanda Sue Jackson M.d. NPPES

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

DR. AMANDA SUE JACKSON M.D. (NPI 1811906316) is an individual pediatrics provider in Gonzales, California, licensed in California (A91439) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1811906316
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. AMANDA SUE JACKSONCredential: M.D.
Location Address850 5TH STGonzales, CA 93926-9491
Mailing Address100 Wilson Rd Ste 100Monterey, CA 93940-7885 · (831) 242-8301
Sole ProprietorNo
Enumeration DateAugust 5, 2006
Last NPPES UpdateJanuary 14, 20254 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2025
NPI 1811906316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses Licensed in CA · A91439 Licensed in WI · 77092-20
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedPediatrics · Child Abuse PediatricsTaxonomy 2080C0008X · License 77092-20 (WI)
850 5TH ST, Gonzales, CA 93926

Secondary Practice Locations 2

Location 15249 E Terrace DrMadison, WI 53718-8339 · Phone (608) 265-1212 · Fax (082) 650-9356
Location 2355 Abbott St Ste 100Salinas, CA 93901-4484 · Phone (831) 751-7070

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 (PECOS)

Dr. Amanda Sue Jackson M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93926 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
$94.44 typical visit price
range $61.69 – $184.30
Typical copayment $23.61 (range $15.42 – $46.07)
Most-billed visit code 99203
Established Patient
$108.04 typical visit price
range $20.34 – $151.02
Typical copayment $27.01 (range $5.08 – $37.75)
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.

Other Providers at the Same Location NPPES 13

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

Family Medicine
850 5TH ST
GONZALES, CA 93926
Internal Medicine (Cardiovascular Disease)
850 5TH ST
GONZALES, CA 93926
Physician Assistant (Medical)
850 5TH ST
GONZALES, CA 93926
Physician Assistant
850 5TH ST
GONZALES, CA 93926
Nurse Practitioner (Family)
850 5TH ST
GONZALES, CA 93926
Physician Assistant
850 5TH ST
GONZALES, CA 93926
Family Medicine
850 5TH ST
GONZALES, CA 93926
Physician Assistant
850 5TH ST
GONZALES, CA 93926

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 Amanda Jackson's NPI number?

The NPI number for Amanda Jackson is 1811906316. It was assigned to this individual provider in the NPPES registry on August 5, 2006.

Where is Amanda Jackson located?

Amanda Jackson practices at 850 5th St, Gonzales, CA 93926. The listed phone number is (831) 675-3601.

What is Amanda Jackson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Amanda Jackson enrolled in Medicare?

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

What insurance does Amanda Jackson accept?

Health plans from Anthem Blue Cross and Blue Shield, Group Health Cooperative-SCW and HealthPartners list Amanda 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 Amanda Jackson was last updated on January 14, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.