SHAWN D. JACKSON NPI 1225391352

NPI Details

Shawn D. Jackson is a family nurse practitioner in Philadelphia, PA with 7 years of experience. Shawn D. Jackson NPI is 1225391352. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2018

The provider's business location address is:

125 S 9TH ST
PHILADELPHIA, PA
ZIP 19107-125
Phone: (215) 592-4500

The NPI 1225391352 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Established patient home visit, typically 40 minutes (HCPCS:99349)
• Advance care planning, first 30 minutes (HCPCS:99497)
• Assessment of and care planning for impaired thought processing, typically 50 minutes (HCPCS:99483)
• New patient home visit, typically 1 hour (HCPCS:99344)
• Extended office or other outpatient service, first hour (HCPCS:99354)
• Extended patient service without direct patient contact, first hour (HCPCS:99358)
• Established patient home visit, typically 1 hour (HCPCS:99350)
• Diabetes outpatient self-management training services, individual, per 30 minutes (HCPCS:G0108)
• Smoking and tobacco use intensive counseling, 4-10 minutes (HCPCS:99406)
• Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
• Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit (HCPCS:G0438)

The enumeration date for this NPI number is 6/22/2012 and was last updated on 10/7/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: