MACHERI JACKSON
NPI 1902622178
Nurse Practitioner - Family in Gilbert, AZ

Q: What is Macheri Jackson's NPI number?

The NPI number for Macheri Jackson is 1902622178. It was assigned to this individual provider in the NPPES registry on December 3, 2024.

Q: What is Macheri Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Macheri Jackson was last updated on December 3, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 03, 2024PECOS Enrolled

161 E RIVULON BLVD STE 210, GILBERT, AZ 85297(480) 494-2465 Get Directions Write a Review

NPPES record last updated: December 3, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Macheri Jackson NPPES

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

MACHERI JACKSON (NPI 1902622178) is an individual family provider in Gilbert, Arizona, licensed in Georgia (RN-244704) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902622178

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMACHERI JACKSON

Location Address161 E RIVULON BLVD STE 210Gilbert, AZ 85297-0087

Mailing Address380 Lava LnUnion City, GA 30291-5187 · (229) 256-9353

Phone(480) 494-2465

Sole ProprietorNo

Enumeration DateDecember 3, 2024

NPPES CertifiedDecember 3, 2024

✔ NPI 1902622178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in GA · RN-244704

161 E RIVULON BLVD STE 210, Gilbert, AZ 85297

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)

Macheri Jackson 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 85297 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

Leave this field empty

Other Providers at the Same Location NPPES 8

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

DR. AMISH SURESHCHANDRA PUROHIT MD

Family Medicine