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ANNA JANE JACKSON M.D.
NPI 1902122138
Pediatrics in La Crosse, WI

Active since April 13, 2010PECOS EnrolledAccepts Medicare Assignment
1836 SOUTH AVE, LA CROSSE, WI 54601(608) 775-8630 Get Directions Write a Review

NPPES record last updated: December 10, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Anna Jane Jackson M.d. NPPES

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

ANNA JANE JACKSON M.D. (NPI 1902122138) is an individual pediatrics provider in La Crosse, Wisconsin, licensed in Wisconsin (60923-20) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS and is a graduate of Medical College Of Wisconsin (2010).

NPPES Registry Identity

NPI1902122138
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameANNA JANE JACKSONCredential: M.D.
Location Address1836 SOUTH AVELa Crosse, WI 54601-5429
Mailing Address1836 South AveLa Crosse, WI 54601-5429 · (608) 775-8630
Phone(608) 775-8630
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 2010
Enumeration DateApril 13, 2010
Last NPPES UpdateDecember 10, 2013
✔ NPI 1902122138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in WI · 60923-20
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.
1836 SOUTH AVE, La Crosse, WI 54601
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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, Aspirus Health Plan, HealthPartners 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 and accepts Medicare assignment

Anna Jane Jackson M.d. 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 ID7911134135
PECOS Enrollment IDI20131216000314
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 Reassignments

2

Medicare enrollment records show Anna Jackson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gundersen Clinic Ltd
Same address
Clinic/Center
1836 SOUTH AVE
La Crosse, WI 54601
  • Reassigned Medicare billing, Wisconsin enrollment
  • 928 clinicians in this Medicare group
NPI 1851343115 (608) 782-7300
Gundersen Lutheran Medical Center, Inc
Same address
Clinic/Center
710 DENTON ST
La Crosse, WI 54601
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,457 clinicians in this Medicare group
NPI 1619210895 (608) 782-7300

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 54601 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

JEFFREY BRIAN TROHKIMOINEN M.D.
Anesthesiology
1836 SOUTH AVE, GUNDERSEN CLINIC, LTD.
LA CROSSE, WI 54601
La Crosse County (608) 775-2031
JESSICA E THESING CRNA
Nurse Anesthetist, Certified Registered
1836 SOUTH AVE
LA CROSSE, WI 54601
La Crosse County (608) 782-7300
DR. MICHAEL DAVID SMITH PSY.D.
Psychologist
1836 SOUTH AVE
LA CROSSE, WI 54601
La Crosse County (608) 782-7300
JESSICA MAE RASMUSSEN
Surgery
1836 SOUTH AVE
LA CROSSE, WI 54601
La Crosse County (608) 782-7300
JULIE SONSALLA NP
Nurse Practitioner (Adult Health)
1836 SOUTH AVE
LA CROSSE, WI 54601
La Crosse County (608) 782-7300
LAURA KLINGBEIL
Orthopaedic Surgery
1836 SOUTH AVE
LA CROSSE, WI 54601
La Crosse County (608) 782-7300
SUSAN CAROL SORRENTINO RN
Registered Nurse (Addiction (Substance Use Disorder))
1836 SOUTH AVE
LA CROSSE, WI 54601
La Crosse County (608) 782-7300
NAOMI MUTHONI RUIRU NP
Nurse Practitioner (Family)
1836 SOUTH AVE
LA CROSSE, WI 54601
La Crosse County (608) 782-7300

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 Anna Jackson's NPI number?

The NPI number for Anna Jackson is 1902122138. It was assigned to this individual provider in the NPPES registry on April 13, 2010.

Where is Anna Jackson located?

Anna Jackson practices at 1836 South Ave, La Crosse, WI 54601. The listed phone number is (608) 775-8630.

What is Anna Jackson's specialty?

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

Is Anna Jackson enrolled in Medicare?

Yes. Anna 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.

Which organizations bill Medicare for Anna Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anna Jackson reassigns Medicare benefits to 2 organizations: Gundersen Clinic Ltd (La Crosse, WI) and Gundersen Lutheran Medical Center, Inc (La Crosse, WI). Each 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 Anna Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anna Jackson accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners and Quartz list Anna 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 Anna Jackson was last updated on December 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.