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MELISSA D JACKSON DMD
NPI 1871930099
Dentist - General Practice in Edgewood, NM

Active since May 29, 2013PECOS Enrolled
EDGEWOOD DENTAL, 7 MUNICIPAL WAY, EDGEWOOD, NM 87015(505) 281-3406 Get Directions Write a Review

NPPES record last updated: October 17, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Melissa D Jackson Dmd NPPES

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

MELISSA D JACKSON DMD (NPI 1871930099) is an individual general practice provider in Edgewood, New Mexico, licensed in New Mexico (DD3828) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871930099
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameMELISSA D JACKSONCredential: DMD
Location AddressEDGEWOOD DENTAL, 7 MUNICIPAL WAYEdgewood, NM 87015
Mailing AddressPo Box 913353Denver, CO 80291-2678 · (505) 241-5182
Phone(505) 281-3406
Sole ProprietorNo
Enumeration DateMay 29, 2013
Last NPPES UpdateOctober 17, 2024
NPPES CertifiedOctober 17, 2024
✔ NPI 1871930099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NM · DD3828
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
EDGEWOOD DENTAL, Edgewood, NM 87015
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melissa D Jackson Dmd 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 Reassignment

Medicare enrollment records show Melissa Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

First Choice Community Healthcare, Inc.
2.7 mi
Federally Qualified Health Center (FQHC)
7 MUNICIPAL WAY
Edgewood, NM 87015
  • Reassigned Medicare billing, New Mexico enrollment
  • 66 clinicians in this Medicare group
NPI 1962663153 (505) 281-3406

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 87015 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
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.

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 Melissa Jackson's NPI number?

The NPI number for Melissa Jackson is 1871930099. It was assigned to this individual provider in the NPPES registry on May 29, 2013.

Where is Melissa Jackson located?

Melissa Jackson practices at Edgewood Dental 7 Municipal Way, Edgewood, NM 87015. The listed phone number is (505) 281-3406.

What is Melissa Jackson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Melissa Jackson enrolled in Medicare?

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

Which organization bills Medicare for Melissa Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Jackson reassigns Medicare benefits to First Choice Community Healthcare, Inc. (Edgewood, NM). The 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 Melissa Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melissa Jackson accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Melissa 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 Melissa Jackson was last updated on October 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.