LYDIA BURR JACKSON PA
NPI 1851546329
Physician Assistant in Lynden, WA

Active since November 25, 2008PECOS EnrolledAccepts Medicare Assignment
8844 BENSON RD, LYNDEN, WA 98264(360) 318-0260(360) 318-0261 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: May 28, 2026, Jun 6, 2024 (2 updates tracked since 2024).

About Lydia Burr Jackson Pa NPPES

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

LYDIA BURR JACKSON PA (NPI 1851546329) is an individual physician assistant in Lynden, Washington, licensed in Washington (PA.PA.61495995) and active in the NPI registry since November 2008. She is enrolled in Medicare PECOS, is affiliated with Peacehealth Peace Island Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1851546329
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLYDIA BURR JACKSONCredential: PA
Location Address8844 BENSON RDLynden, WA 98264-9787
Mailing Address226 Se 8th AveHillsboro, OR 97123-4218 · (503) 601-7400 · Fax (503) 601-7311
Fax(360) 318-0261
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateNovember 25, 2008
Last NPPES UpdateMay 28, 20262 updates tracked since enumeration
NPPES CertifiedMay 28, 2026
NPI 1851546329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WA · PA.PA.61495995
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA01417 (OR)
8844 BENSON RD, Lynden, WA 98264

Secondary Practice Locations 2

Location 1226 SE 8th AveHillsboro, OR 97123-4218 · Phone (503) 601-7400 · Fax (503) 601-7311
Location 21117 Spring StFriday Harbor, WA 98250-9782 · Phone (360) 378-2141 · Fax (360) 378-1785

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 and accepts Medicare assignment

Lydia Burr Jackson Pa 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 ID8820153414
PECOS Enrollment IDI20240621003782
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.

Peacehealth Peace Island Medical Center

Critical Access Hospitals · Friday Harbor, WA
OwnershipVoluntary non-profit - Private
CMS Certification Number501340
Location1117 Spring StreetFriday Harbor, WA 98250 · San Juan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98264 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
Most-billed visit code 99213
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

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

Physician Assistant
8844 BENSON RD
LYNDEN, WA 98264

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 Lydia Jackson's NPI number?

The NPI number for Lydia Jackson is 1851546329. It was assigned to this individual provider in the NPPES registry on November 25, 2008.

Where is Lydia Jackson located?

Lydia Jackson practices at 8844 Benson Rd, Lynden, WA 98264. The listed phone number is (360) 318-0260.

What is Lydia Jackson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Lydia Jackson enrolled in Medicare?

Yes. Lydia 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.

What insurance does Lydia Jackson accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Lydia 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.

Is Lydia Jackson affiliated with any hospitals?

According to CMS data, Lydia Jackson is affiliated with Peacehealth Peace Island Medical Center.

When was this NPI record last updated?

The NPPES record for Lydia Jackson was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.