ALYSSA JACKSON FNP
NPI 1831078039
Nurse Practitioner - Family in Shreveport, LA

Q: What is Alyssa Jackson's NPI number?

The NPI number for Alyssa Jackson is 1831078039. It was assigned to this individual provider in the NPPES registry on September 1, 2025.

Q: What is Alyssa Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Alyssa Jackson was last updated on September 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since September 01, 2025PECOS Enrolled

1541 KINGS HWY, SHREVEPORT, LA 71103(318) 349-8585 Get Directions Write a Review

NPPES record last updated: September 1, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Alyssa Jackson Fnp NPPES

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

ALYSSA JACKSON FNP (NPI 1831078039) is an individual family provider in Shreveport, Louisiana, licensed in Louisiana (231851) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1831078039

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameALYSSA JACKSONCredential: FNP

Location Address1541 KINGS HWYShreveport, LA 71103-4228

Mailing Address2851 Sunrise PtHaughton, LA 71037-9468 · (318) 349-8585

Phone(318) 349-8585

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateSeptember 1, 2025

NPPES CertifiedAugust 31, 2025

✔ NPI 1831078039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in LA · 231851

1541 KINGS HWY, Shreveport, LA 71103

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alyssa Jackson Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3072007467

PECOS Enrollment IDI20251212001881

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 71103 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

$83.60 typical visit price

range $53.43 – $164.73

Typical copayment $20.90 (range $13.35 – $41.18)

Most-billed visit code 99203

Established Patient

$95.09 typical visit price

range $16.64 – $133.62

Typical copayment $23.77 (range $4.16 – $33.40)

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 20

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

PRATIK AGRAWAL

Internal Medicine (Cardiovascular Disease)