NATASHA C JACKSON MD
NPI 1881220879
Pediatrics in Bronx, NY

Q: What is Natasha Jackson's NPI number?

The NPI number for Natasha Jackson is 1881220879. It was assigned to this individual provider in the NPPES registry on March 21, 2020.

Q: What is Natasha Jackson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Natasha Jackson was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 March 21, 2020PECOS Enrolled

3415 BAINBRIDGE AVE, BRONX, NY 10467(951) 252-3324 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 24, 2025, Mar 21, 2020 (2 updates tracked since 2020).

On this page

About Natasha C Jackson Md NPPES

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

NATASHA C JACKSON MD (NPI 1881220879) is an individual pediatrics provider in Bronx, New York, licensed in New York (3311751) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881220879

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameNATASHA C JACKSONCredential: MD

Location Address3415 BAINBRIDGE AVEBronx, NY 10467-2403

Mailing Address3315 Rochambeau Ave Fl 2Bronx, NY 10467-2848 · (951) 252-3324

Phone(951) 252-3324

Sole ProprietorNo

Enumeration DateMarch 21, 2020

Last NPPES UpdateMarch 24, 20252 updates tracked since enumeration

NPPES CertifiedMarch 24, 2025

✔ NPI 1881220879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in NY · 3311751

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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3415 BAINBRIDGE AVE, Bronx, NY 10467

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Natasha C Jackson Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10467 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

MRS. ASHLEY RAE NOBOA MSN, FNP-C

Nurse Practitioner (Family)