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MS. BRIANNA SHANICE JACKSON PA-C
NPI 1922679489
Physician Assistant in Milwaukee, WI

Active since July 06, 2021PECOS EnrolledAccepts Medicare Assignment
2555 N MARTIN LUTHER KING DR, MILWAUKEE, WI 53212(414) 372-8080(414) 562-8084 Get Directions Write a Review

NPPES record last updated: July 3, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 3, 2024, Aug 6, 2021, Jul 7, 2021 (3 updates tracked since 2021).

About Ms. Brianna Shanice Jackson Pa-c NPPES

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

MS. BRIANNA SHANICE JACKSON PA-C (NPI 1922679489) is an individual physician assistant in Milwaukee, Wisconsin, licensed in Wisconsin (5587-23) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS, is affiliated with Ascension Se Wisconsin Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1922679489
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. BRIANNA SHANICE JACKSONCredential: PA-C
Location Address2555 N MARTIN LUTHER KING DRMilwaukee, WI 53212-2709
Mailing Address2555 N Dr Martin Luther King Jr DrMilwaukee, WI 53212-2709 · (414) 372-8080
Phone(414) 372-8080
Fax(414) 562-8084
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 6, 2021
Last NPPES UpdateJuly 3, 20243 updates tracked since enumeration
NPPES CertifiedJuly 3, 2024
✔ NPI 1922679489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in WI · 5587-23
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.
2555 N MARTIN LUTHER KING DR, Milwaukee, WI 53212
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Other Identifiers 1

Medicaid100180686WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health, UnitedHealthcare.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

Ms. Brianna Shanice Jackson Pa-c 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 ID3072910637
PECOS Enrollment IDI20210923002622
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 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension SE Wisconsin Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520136
Location5000 W Chambers StMilwaukee, WI 53210 · Milwaukee County
Emergency services Birthing friendly

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520138
Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53212 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
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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 20

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

CAROLYN AYLSWORTH RN
Registered Nurse
2555 N MARTIN LUTHER KING DR
MILWAUKEE, WI 53212
Milwaukee County (414) 372-8080
JANE A CHEVAKO M.D.
Pediatrics
2555 N MARTIN LUTHER KING DR, MILWAUKEE HEALTH SERVICES, INC.
MILWAUKEE, WI 53212
Milwaukee County (414) 372-8080
CYNTHIA A FLOORE MD
Family Medicine
2555 N MARTIN LUTHER KING DR, MILWAUKEE HEALTH SERVICES, INC.
MILWAUKEE, WI 53212
Milwaukee County (414) 372-8080
DR. MIRIAN BOYD ORGAN MD
Obstetrics & Gynecology
2555 N MARTIN LUTHER KING DR
MILWAUKEE, WI 53212
Milwaukee County (414) 372-8080
MS. DUACHY VANG APNP
Nurse Practitioner
2555 N MARTIN LUTHER KING DR
MILWAUKEE, WI 53212
Milwaukee County (414) 760-3900
MILWAUKEE HEALTH SERVICES, INC.
Pharmacy
2555 N MARTIN LUTHER KING DR
MILWAUKEE, WI 53212
Milwaukee County (414) 267-2021
MILWAUKEE HEALTH SERVICES INC
Case Management
2555 N MARTIN LUTHER KING DR
MILWAUKEE, WI 53212
Milwaukee County (414) 267-2022
DR. ALISON E LUX MD
Family Medicine
2555 N MARTIN LUTHER KING DR
MILWAUKEE, WI 53212
Milwaukee County (414) 372-8080

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 Brianna Jackson's NPI number?

The NPI number for Brianna Jackson is 1922679489. It was assigned to this individual provider in the NPPES registry on July 6, 2021.

Where is Brianna Jackson located?

Brianna Jackson practices at 2555 N Martin Luther King Dr, Milwaukee, WI 53212. The listed phone number is (414) 372-8080.

What is Brianna Jackson's specialty?

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

Is Brianna Jackson enrolled in Medicare?

Yes. Brianna 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 Brianna Jackson accept?

Health plans from Anthem Blue Cross and Blue Shield, Network Health and UnitedHealthcare list Brianna 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 Brianna Jackson affiliated with any hospitals?

According to CMS data, Brianna Jackson is affiliated with Ascension SE Wisconsin Hospital and Aurora St Lukes Medical Center.

When was this NPI record last updated?

The NPPES record for Brianna Jackson was last updated on July 3, 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.