1. Home
  2. Directory
  3. California
  4. Fresno
  5. Family Medicine
  6. NPI Profile

BETHANY ROSE JACKSON DO
NPI 1932640265
Family Medicine - Hospice and Palliative Medicine in Fresno, CA

Active since March 20, 2017PECOS Enrolled
85/100
CMS Quality Rating
2823 FRESNO ST, FRESNO, CA 93721(559) 443-2682(559) 443-2681 Get Directions Write a Review

NPPES record last updated: December 4, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 4, 2023, Dec 15, 2021, Jul 14, 2020 and 2 more (5 updates tracked since 2017).

About Bethany Rose Jackson Do NPPES

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

BETHANY ROSE JACKSON DO (NPI 1932640265) is an individual hospice and palliative medicine provider in Fresno, California, licensed in California (20A21130) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932640265
Entity TypeIndividualFemale
Primary Taxonomy207QH0002X
Provider Legal NameBETHANY ROSE JACKSONCredential: DO
Location Address2823 FRESNO STFresno, CA 93721-1324
Mailing Address2625 E Divisadero StFresno, CA 93721-1431 · (559) 443-2682 · Fax (559) 443-2681
Phone(559) 443-2682
Fax(559) 443-2681
Sole ProprietorNo
Enumeration DateMarch 20, 2017
Last NPPES UpdateDecember 4, 20235 updates tracked since enumeration
NPPES CertifiedDecember 4, 2023
✔ NPI 1932640265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QH0002X
License✔ Licensed in CA · 20A21130
Definition
A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 20A21130 (CA)
2823 FRESNO ST, Fresno, CA 93721
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bethany Rose Jackson Do 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 Reassignments

3

Medicare enrollment records show Bethany Jackson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Faculty Associates, Inc.
Same address
Emergency Medicine
2823 FRESNO ST
Fresno, CA 93721
  • Reassigned Medicare billing, California enrollment
  • 320 clinicians in this Medicare group
NPI 1235537283 (559) 443-2682
Ihc Health Services Inc
342 mi
Emergency Medicine
1739 W SUNSET BLVD
St George, UT 84770
  • Reassigned Medicare billing, Utah enrollment
  • 3,691 clinicians in this Medicare group
NPI 1851599336 (435) 634-6000
Ohiohealth Urgent Care LLC
1,987 mi
Urgent Care
6905 HOSPITAL DR STE 130
Dublin, OH 43016
  • Reassigned Medicare billing, Ohio enrollment
  • 388 clinicians in this Medicare group
NPI 1811207160 (614) 923-0300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
85 services84 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
40 services38 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
31 services29 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
23 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93721 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.33
Promoting Interoperability100
Improvement Activities40
Cost45.02

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.

MICHELLE LEA STORKAN M.D.
Emergency Medicine
2823 FRESNO ST
FRESNO, CA 93721
Fresno County (559) 499-6440
WHITNEY ANN JOHNSON PA-C
Physician Assistant (Medical)
2823 FRESNO ST
FRESNO, CA 93721
Fresno County (559) 499-6440
TAMARA CARPENTER FNP
Nurse Practitioner
2823 FRESNO ST
FRESNO, CA 93721
Fresno County (559) 499-6440
ERICSON MUTSUO HIROSE PA
Physician Assistant (Medical)
2823 FRESNO ST
FRESNO, CA 93721
Fresno County (559) 443-2682
MARIA FLORDELIZ ARAMBULO MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2823 FRESNO ST
FRESNO, CA 93721
Fresno County (559) 499-6484
JASON PAUL O'BRIEN NP
Nurse Practitioner
2823 FRESNO ST
FRESNO, CA 93721
Fresno County (559) 499-6440
REEM ABOUSHAAR MD
Pediatrics
2823 FRESNO ST
FRESNO, CA 93721
Fresno County (559) 443-2682
TUSWANA MAKINI ELLSBERRY FNP
Registered Nurse (General Practice)
2823 FRESNO ST
FRESNO, CA 93721
Fresno County (559) 459-6000

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 Bethany Jackson's NPI number?

The NPI number for Bethany Jackson is 1932640265. It was assigned to this individual provider in the NPPES registry on March 20, 2017.

Where is Bethany Jackson located?

Bethany Jackson practices at 2823 Fresno St, Fresno, CA 93721. The listed phone number is (559) 443-2682.

What is Bethany Jackson's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207QH0002X.

Is Bethany Jackson enrolled in Medicare?

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

Which organizations bill Medicare for Bethany Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bethany Jackson reassigns Medicare benefits to 3 organizations: University Faculty Associates, Inc. (Fresno, CA), Ihc Health Services Inc (St George, UT) and Ohiohealth Urgent Care LLC (Dublin, OH). 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 Bethany Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Bethany Jackson was last updated on December 4, 2023. 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.