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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: October 18, 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
Phone(831) 675-3601
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
Open in Google Maps ↗

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

The full list of accepted plans is on the Insurance tab. Issuers include Group Health Cooperative-SCW, HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Amanda Jackson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Salinas Valley Memorial Healthcare System
Same address
Rural Health
850 FIFTH STREET
Gonzales, CA 93926
  • Reassigned Medicare billing, California enrollment
  • 42 clinicians in this Medicare group
NPI 1437549284 (831) 675-3601
Svmhs Clinics
15 mi
Multi-Specialty
505 E ROMIE LN STE A
Salinas, CA 93901
  • Reassigned Medicare billing, California enrollment
  • 310 clinicians in this Medicare group
NPI 1093158347 (831) 755-1701
University Of Wisconsin Medical Foundation, Inc
1,746 mi
Multi-Specialty
7974 UW HEALTH COURT
Middleton, WI 53562
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,832 clinicians in this Medicare group
NPI 1598784555 (608) 829-5485

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 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.

DOLORES PENA
Family Medicine
850 5TH ST
GONZALES, CA 93926
Monterey County (831) 675-3601
DR. TIMOTHY STEPHEN E. ALBERT M.D.
Internal Medicine (Cardiovascular Disease)
850 5TH ST
GONZALES, CA 93926
Monterey County (831) 675-3601
MRS. SUSAN GANZHORN PA
Physician Assistant (Medical)
850 5TH ST
GONZALES, CA 93926
Monterey County (831) 675-3601
MARISOL AYALA GARCIA
Physician Assistant
850 5TH ST
GONZALES, CA 93926
Monterey County (831) 675-3601
EYDA SUZANA CALERO BELLORIN FNP-C
Nurse Practitioner (Family)
850 5TH ST
GONZALES, CA 93926
Monterey County (831) 675-3601
MATTHEW SIMS FIESS PA
Physician Assistant
850 5TH ST
GONZALES, CA 93926
Monterey County (831) 675-3601
FRANCIS RANGEL VENTURA M.D.
Family Medicine
850 5TH ST
GONZALES, CA 93926
Monterey County (831) 675-3601
NOEL VILLAGOMEZ ZAVALA
Physician Assistant
850 5TH ST
GONZALES, CA 93926
Monterey County (831) 675-3601

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.

Which organizations bill Medicare for Amanda Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Jackson reassigns Medicare benefits to 3 organizations: Salinas Valley Memorial Healthcare System (Gonzales, CA), Svmhs Clinics (Salinas, CA) and University Of Wisconsin Medical Foundation, Inc (Middleton, WI). 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 Amanda Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amanda Jackson accept?

Health plans from 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.