MS. BERTHA ADELE JACKSON CRNP
NPI 1598078404
Nurse Practitioner - Family in Philadelphia, PA
NPI Status: Active since July 20, 2010
Contact Information
5501 OLD YORK RD
PALEY FIRST FLOOR
PHILADELPHIA, PA
ZIP 19141
Phone: (215) 456-6532
Fax: (215) 456-7375
- Individual
- Female
- Nurse Practitioner
- Family
- Accepts Insurance
- PECOS Enrolled
About BERTHA JACKSON
This page provides the complete NPI Profile along with additional information for Bertha Jackson, a provider established in Philadelphia, Pennsylvania with a medical specialization in Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1598078404 assigned on July 2010. The practitioner's primary taxonomy code is 363LF0000X with license number SP010712 (PA). The provider is registered as an individual and her NPI record was last updated 15 years ago.
- NPI
- 1598078404
- Provider Name
- MS. BERTHA ADELE JACKSON CRNP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 5501 OLD YORK RD PALEY FIRST FLOOR PHILADELPHIA, PA 19141
- Location Phone
- (215) 456-6532
- Location Fax
- (215) 456-7375
- Mailing Address
- 5501 OLD YORK RD PALEY FIRST FLOOR PHILADELPHIA, PA 19141
- Mailing Phone
- (215) 456-6532
- Mailing Fax
- (215) 456-7375
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-20-2010
- Last Update Date
- 07-20-2010
- Code Navigator
A nurse practitioner (NP) like Bertha Jackson is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- SP010712
- License State
- PA
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Silver - HMO
- Elite Silver + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Clear Gold - EPO
- Clear Gold + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Premier Bronze HSA - EPO
- Premier Bronze HSA + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Bertha Jackson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 19141 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $92.69
- Minimum New Patient Price $59.88
- Maximum New Patient Price $180.99
- Average New Patient Copayment $23.17
- Minimum New Patient Copayment $14.97
- Maximum New Patient Copayment $45.24
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $105.21
- Minimum Established Patient Price $19.3
- Maximum Established Patient Price $147.29
- Average Established Patient Copayment $26.3
- Minimum Established Patient Copayment $4.82
- Maximum Established Patient Copayment $36.82
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for MS. BERTHA ADELE JACKSON CRNP
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 9 | 8 | 0 | 7 | 8 | 4 | 0 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 18 | 8 | 0 | 7 | 16 | 4 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 8 + 8 + 0 + 7 + 1 + 6 + 4 + 0 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1598078404 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1902805245 | ALBERT EINSTEIN MEDICAL CENTER Organization | General Acute Care Hospital | 5501 OLD YORK RD PHILA, PA 19141 (215) 456-6611 |
| 1871592816 | ALBERT EINSTEIN MEDICAL CENTER Organization | Skilled Nursing Facility | 5501 OLD YORK RD PHILA, PA 19141 (215) 456-6611 |
| 1174522114 | ALBERT EINSTEIN MEDICAL CENTER Organization | Rehabilitation Unit | 5501 OLD YORK RD PHILA, PA 19141 (215) 456-6611 |
| 1639170061 | NANCY LEAHY CRNP Individual | Nurse Practitioner (Adult Health) | 5501 OLD YORK RD BRAEMER BLDG 2ND FLOOR PHILADELPHIA, PA 19141 (215) 456-3880 |
| 1134111412 | DR. SCOTT JASON KORVEK MD, FACEP Individual | Emergency Medicine | 5501 OLD YORK RD KORMAN B-6 PHILADELPHIA, PA 19141 (215) 456-6679 |
| 1093793804 | JULIE M OCONNOR MD Individual | Emergency Medicine | 5501 OLD YORK RD KORMAN BUILDING, B2 PHILADELPHIA, PA 19141 (215) 456-6666 |
| 1801874409 | DEBORAH L PIERCE DO Individual | Emergency Medicine | 5501 OLD YORK RD PHILADELPHIA, PA 19141 (215) 456-6679 |
| 1972582195 | CORRADO MINIMO M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 5501 OLD YORK RD TOWER BUILDING, GRND. FLOOR PHILADELPHIA, PA 19141 (215) 456-6157 |
| 1962476325 | LYNNE A MROZ MD Individual | Anesthesiology | 5501 OLD YORK RD TOWER 3 PHILADELPHIA, PA 19141 (215) 456-7979 |
| 1467426247 | DR. MAHRUKH S KHAN M.D. Individual | Psychiatry & Neurology (Psychiatry) | 5501 OLD YORK RD PHILADELPHIA, PA 19141 (215) 456-6255 |
| 1871569913 | RALPH HYLER SCOTT MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 5501 OLD YORK RD PHILADELPHIA, PA 19141 (215) 456-6112 |
| 1598733073 | JOHN T WILLIAMS SR. MD Individual | Orthopaedic Surgery | 5501 OLD YORK RD WILLOWCREST ROAD 4TH FLOOR PHILADELPHIA, PA 19141 (215) 456-7900 |
| 1497723548 | MANSOOR U HUSAIN MD Individual | Anesthesiology | 5501 OLD YORK RD TOWER 3 PHILADELPHIA, PA 19141 (215) 456-7979 |
| 1891764973 | DOUGLAS MCGEE DO Individual | Emergency Medicine | 5501 OLD YORK RD PHILADELPHIA, PA 19141 (215) 456-6679 |
| 1790754778 | CHRISTINE GIESA DO Individual | Emergency Medicine | 5501 OLD YORK RD PHILADELPHIA, PA 19141 (215) 456-6679 |
| 1467421644 | JOHN J KELLY DO Individual | Emergency Medicine | 5501 OLD YORK RD PHILADELPHIA, PA 19141 (215) 456-6679 |
| 1255390035 | WILLIAM J GAUGHAN MD Individual | Internal Medicine (Nephrology) | 5501 OLD YORK RD LEVY GRD FLOOR PHILADELPHIA, PA 19141 (215) 456-6970 |
| 1164481941 | ALBERT L VILLARIN MD Individual | Emergency Medicine | 5501 OLD YORK RD PHILADELPHIA, PA 19141 (215) 456-6679 |
| 1356300057 | GERALD F O MALLEY DO Individual | Emergency Medicine | 5501 OLD YORK RD PHILADELPHIA, PA 19141 (215) 456-6679 |
| 1073572319 | MERLE CARTER MD Individual | Emergency Medicine | 5501 OLD YORK RD PHILADELPHIA, PA 19141 (215) 456-6679 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1598078404, enumerated in the NPI registry as an "individual" on July 20, 2010
The provider is located at 5501 Old York Rd Paley First Floor Philadelphia, Pa 19141 and the phone number is (215) 456-6532
The provider's speciality is Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family
The provider might be accepting Accepts: Ambetter Health and Ambetter Health of Delaware. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $92.69 with an average copayment of $23.17 for new patient appointments. Established patients should expect a typical charge of $105.21 and an average copayment of 26.3. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on July 20, 2010. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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