NNEKA SAFIYA EDWARDS-JACKSON M.D.
NPI 1639461734
Pediatrics in Phoenix, AZ
NPI Status: Active since May 07, 2011
- Individual
- Female
- Pediatrics
- Accepts Insurance
- PECOS Enrolled
About NNEKA EDWARDS-JACKSON
This page provides the complete NPI Profile along with additional information for Nneka Edwards-jackson, a pediatrician established in Phoenix, Arizona with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1639461734 assigned on May 2011. The practitioner's primary taxonomy code is 208000000X with license number 65492 (AZ). The provider is registered as an individual and her NPI record was last updated 2 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization.
- NPI
- 1639461734
- Provider Name
- NNEKA SAFIYA EDWARDS-JACKSON M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1919 E THOMAS RD PHOENIX, AZ 85016
- Location Phone
- (602) 933-0777
- Mailing Address
- 2108 E THOMAS RD STE 130 PHOENIX, AZ 85016
- Mailing Phone
- (323) 361-3550
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-07-2011
- Last Update Date
- 08-28-2023
- Code Navigator
A pediatrician like Nneka Edwards-jackson is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, 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
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 65492
- License State
- AZ
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | A124478 (CA) |
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Bronze Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Bronze Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Bronze Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Bronze Standard - HMO
- Catastrophic Standard - HMO
- Gold Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Gold Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Gold Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Gold Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Gold Standard - HMO
- Silver Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Silver Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Silver Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Silver Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Silver Standard - HMO
- Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
- Medica Individual Choice Bronze HSA - EPO
- Medica Individual Choice Bronze Share - EPO
- Medica Individual Choice Bronze Share - HMO
- Medica Individual Choice Expanded Bronze Standard - EPO
- Medica Individual Choice Expanded Bronze Standard - HMO
- Medica Individual Choice Gold $0 Copay PCP Visits - EPO
- Medica Individual Choice Gold $0 Copay PCP Visits - HMO
- Medica Individual Choice Gold Share - EPO
- Medica Individual Choice Gold Share - HMO
- Medica Individual Choice Gold Standard - EPO
- Medica Individual Choice Gold Standard - HMO
- Medica Individual Choice Silver $0 Copay PCP Visits - EPO
- Medica Individual Choice Silver $0 Copay PCP Visits - HMO
- Medica Individual Choice Silver Share - EPO
- Medica Individual Choice Silver Share - HMO
- Medica Individual Choice Silver Standard - EPO
- Medica Individual Choice Silver Standard - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Nneka Edwards-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 85016 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $85.89
- Minimum New Patient Price $55.44
- Maximum New Patient Price $168.6
- Average New Patient Copayment $21.47
- Minimum New Patient Copayment $13.86
- Maximum New Patient Copayment $42.15
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $98
- Minimum Established Patient Price $17.72
- Maximum Established Patient Price $137.41
- Average Established Patient Copayment $24.5
- Minimum Established Patient Copayment $4.43
- Maximum Established Patient Copayment $34.35
* 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.
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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 | 6 | 3 | 9 | 4 | 6 | 1 | 7 | 3 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 8 | 6 | 2 | 7 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 6 + 9 + 8 + 6 + 2 + 7 + 6 + 24 = 76 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 76 = 4 | 4 | ||||||||
The NPI number 1639461734 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 |
|---|---|---|---|
| 1750387171 | DR. MEHRDAD SHAFA MD Individual | Emergency Medicine (Pediatric Emergency Medicine) | 1919 E THOMAS RD DEPARTMENT OF EMERGENCY MEDICINE PHOENIX, AZ 85016 (602) 546-1900 |
| 1871584458 | DR. MARSHALL D. LUSTGARTEN M.D. Individual | Radiology (Pediatric Radiology) | 1919 E THOMAS RD PHOENIX, AZ 85016 (602) 546-1207 |
| 1982676714 | JEFFREY R BUCHHALTER M.D. Individual | Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology) | 1919 E THOMAS RD PHOENIX, AZ 85016 (602) 546-0970 |
| 1629040449 | CHILDRENS CRITICAL CARE ASSOCIATES, P.C. Organization | Pediatrics (Pediatric Critical Care Medicine) | 1919 E THOMAS RD SUITE 1891 PHOENIX, AZ 85016 (605) 546-1784 |
| 1124090626 | RAYMOND D ADELMAN MD Individual | Pediatrics (Pediatric Nephrology) | 1919 E THOMAS RD BLDG B DEPT OF NEPHROLOGY PHOENIX, AZ 85016 (602) 546-1000 |
| 1568435014 | PAUL V BARANKO MD Individual | Pediatrics (Pediatric Hematology-Oncology) | 1919 E THOMAS RD BLDG B DEPT OF HEMATOLOGY/ONCOLOGY PHOENIX, AZ 85016 (602) 546-1000 |
| 1528027281 | DALE A SINGER M.D. Individual | Pediatrics (Pediatric Hematology-Oncology) | 1919 E THOMAS RD BLDG B PHOENIX, AZ 85016 (602) 546-1000 |
| 1629037429 | DAVID L WODRICH PH.D. Individual | Clinical Neuropsychologist | 1919 E THOMAS RD BLDG B PHOENIX, AZ 85016 (602) 546-0486 |
| 1598724395 | MATTHEW H WILKINSON M.D. Individual | Pediatrics (Pediatric Emergency Medicine) | 1919 E THOMAS RD PHOENIX, AZ 85016 (602) 546-1000 |
| 1073573200 | TERRY S WOOD M.D. Individual | Pediatrics (Pediatric Hematology-Oncology) | 1919 E THOMAS RD PHOENIX, AZ 85016 (602) 546-0486 |
| 1043271463 | JEFFREY C PROUDFOOT D.O. Individual | Pediatrics (Pediatric Emergency Medicine) | 1919 E THOMAS RD PHOENIX, AZ 85016 (602) 546-1000 |
| 1447212287 | DAPHNE E DEMELLO M.D. Individual | Pathology (Pediatric Pathology) | 1919 E THOMAS RD PHOENIX, AZ 85016 (602) 546-1000 |
| 1801858485 | TIFFANY L JOHNSON M.D. Individual | Pediatrics (Pediatric Emergency Medicine) | 1919 E THOMAS RD PHOENIX, AZ 85016 (602) 546-1000 |
| 1346202991 | THERESA A GREBE M.D. Individual | Medical Genetics (Clinical Genetics (M.D.)) | 1919 E THOMAS RD EAST BUILDING PHOENIX, AZ 85016 (602) 546-1000 |
| 1487617395 | DR. KEITH S. MEREDITH M.D. Individual | Pediatrics (Neonatal-Perinatal Medicine) | 1919 E THOMAS RD BLDG C RM 1354 PHOENIX, AZ 85016 (602) 546-0676 |
| 1326005281 | JOAN L NEWBY MSN, RNC, NNP Individual | Nurse Practitioner (Neonatal, Critical Care) | 1919 E THOMAS RD PHOENIX, AZ 85016 (602) 546-0676 |
| 1114976388 | MRS. CAMILLA LIEBE MILLER NNP Individual | Nurse Practitioner (Neonatal) | 1919 E THOMAS RD PHOENIX, AZ 85016 (602) 546-1454 |
| 1922052778 | MS. MICHELLE SUZANNE DEPIETRO RN,NNP Individual | Registered Nurse (Neonatal Intensive Care) | 1919 E THOMAS RD PHOENIX CHILDREN'S HOSPITAL - NICU PHOENIX, AZ 85016 (602) 239-5166 |
| 1194741801 | BETH G RUMACK NNP Individual | Nurse Practitioner (Neonatal) | 1919 E THOMAS RD EAST BUILDING PHOENIX, AZ 85016 (602) 546-1784 |
| 1184730335 | AMY REBECCA KOLWAITE PNP Individual | Nurse Practitioner (Pediatrics) | 1919 E THOMAS RD PHOENIX, AZ 85016 (602) 546-1000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639461734, enumerated in the NPI registry as an "individual" on May 07, 2011
The provider is located at 1919 E Thomas Rd Phoenix, Az 85016 and the phone number is (602) 933-0777
The provider's speciality is Pediatrics with taxonomy code 208000000X
The provider might be accepting Accepts: Antidote Health Plan of Arizona, Inc. and Medica. 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 $85.89 with an average copayment of $21.47 for new patient appointments. Established patients should expect a typical charge of $98 and an average copayment of 24.5. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on May 07, 2011. 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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