MS. JENNIFER ANN JACKSON RPAC
NPI 1841482031
Physician Assistant - Surgical in Cornwall, NY

Active since August 13, 2007PECOS EnrolledAccepts Medicare Assignment
92.35/100
CMS Quality Rating
19 LAUREL AVE STE 102, CORNWALL, NY 12518(845) 822-8100(845) 822-8110 Get Directions Write a Review

NPPES record last updated: April 29, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 29, 2022, Jul 21, 2021 (2 updates tracked since 2021).

About Ms. Jennifer Ann Jackson Rpac NPPES

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

MS. JENNIFER ANN JACKSON RPAC (NPI 1841482031) is an individual surgical provider in Cornwall, New York, licensed in New York (006236) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS, is affiliated with St Luke's Cornwall Hospital, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1841482031
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMS. JENNIFER ANN JACKSONCredential: RPAC
Location Address19 LAUREL AVE STE 102Cornwall, NY 12518-1403
Mailing Address19 Laurel Ave Ste 102Cornwall, NY 12518-1403 · (845) 822-8100 · Fax (845) 822-8110
Fax(845) 822-8110
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateAugust 13, 2007
Last NPPES UpdateApril 29, 20222 updates tracked since enumeration
NPPES CertifiedApril 29, 2022
NPI 1841482031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in NY · 006236
19 LAUREL AVE STE 102, Cornwall, NY 12518

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

Ms. Jennifer Ann Jackson Rpac 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 ID8224446554
PECOS Enrollment IDI20210426001531
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.

Hospital Affiliations CMS Care Compare

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

St Luke's Cornwall Hospital

Acute Care Hospitals · Newburgh, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330264
Location70 Dubois StreetNewburgh, NY 12550 · Orange County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.28
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

Surgery (Vascular Surgery)
19 LAUREL AVE STE 102
CORNWALL, NY 12518
Surgery (Vascular Surgery)
19 LAUREL AVE STE 102
CORNWALL, NY 12518
Surgery (Vascular Surgery)
19 LAUREL AVE STE 102
CORNWALL, NY 12518

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 Jennifer Jackson's NPI number?

The NPI number for Jennifer Jackson is 1841482031. It was assigned to this individual provider in the NPPES registry on August 13, 2007.

Where is Jennifer Jackson located?

Jennifer Jackson practices at 19 Laurel Ave Ste 102, Cornwall, NY 12518. The listed phone number is (845) 822-8100.

What is Jennifer Jackson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Jennifer Jackson enrolled in Medicare?

Yes. Jennifer 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 Jennifer Jackson affiliated with any hospitals?

According to CMS data, Jennifer Jackson is affiliated with St Luke's Cornwall Hospital.

When was this NPI record last updated?

The NPPES record for Jennifer Jackson was last updated on April 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.