MS. JENNIFER ANN JACKSON RPAC
NPI 1841482031
Physician Assistant - Surgical in Cornwall, NY

NPI Status: Active since August 13, 2007

Contact Information

19 LAUREL AVE STE 102
CORNWALL, NY
ZIP 12518
Phone: (845) 822-8100
Fax: (845) 822-8110

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  • Individual
  • Female
  • Years of Experience 29
  • Physician Assistant
  • Surgical
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About JENNIFER JACKSON

This page provides the complete NPI Profile along with additional information for Jennifer Jackson, a provider established in Cornwall, New York with a medical specialization in Physician Assistant, focusing in surgical and more than 29 years of experience. The healthcare provider is registered in the NPI registry with number 1841482031 assigned on August 2007. The practitioner's primary taxonomy code is 363AS0400X with license number 006236 (NY). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1841482031
Provider Name
MS. JENNIFER ANN JACKSON RPAC
Gender
Female
Entity Type
Individual
Location Address
19 LAUREL AVE STE 102 CORNWALL, NY 12518
Location Phone
(845) 822-8100
Location Fax
(845) 822-8110
Mailing Address
19 LAUREL AVE STE 102 CORNWALL, NY 12518
Mailing Phone
(845) 822-8100
Mailing Fax
(845) 822-8110
Medical School Name
OTHER
Graduation Year
1997
Is Sole Proprietor?
No
Enumeration Date
08-13-2007
Last Update Date
04-29-2022
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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

Physician Assistant Surgical

Taxonomy Code
363AS0400X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
006236
License State
NY

Medicare Participation & PECOS Enrollment Status

Jennifer Jackson is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Jennifer 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

  • PECOS PAC ID: 8224446554

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20210426001531

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • 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

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 132 times for 75 patients

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 46 times for 31 patients

New patient office or other outpatient visit, 30-44 minutes

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

This service was performed 48 times for 48 patients

New patient office or other outpatient visit, 45-59 minutes

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

This service was performed 20 times for 20 patients

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Jennifer Jackson is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
ST LUKE'S CORNWALL HOSPITAL70 DUBOIS STREET
NEWBURGH, NY 12550
(845) 561-4400Acute Care Hospitals

Reviews for MS. JENNIFER ANN JACKSON RPAC

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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.
1841482031
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
288188406
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 8 + 1 + 8 + 8 + 4 + 0 + 6 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1841482031 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1073128971NEW YORK VASCULAR GROUP, PLLC
Organization
Surgery (Vascular Surgery)19 LAUREL AVE STE 102
CORNWALL, NY 12518
(845) 822-8100
1730121120 SAE JOON HAHM M.D.
Individual
Surgery (Vascular Surgery)19 LAUREL AVE STE 102
CORNWALL, NY 12518
(845) 822-8100
1649551607 MOHAMED YOUSEF ELSAGGA D.O.
Individual
Surgery (Vascular Surgery)19 LAUREL AVE STE 102
CORNWALL, NY 12518
(845) 822-8100

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1841482031, enumerated in the NPI registry as an "individual" on August 13, 2007

The provider is located at 19 Laurel Ave Ste 102 Cornwall, Ny 12518 and the phone number is (845) 822-8100

The provider's speciality is Physician Assistant with taxonomy code 363AS0400X with a focus in Surgical

The provider has more than 29 years of experience.

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.

The most common procedures or services performed by this practitioner are: Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, New patient office or other outpatient visit, 30-44 minutes and New patient office or other outpatient visit, 45-59 minutes.

The practitioner is affiliated to the following hospital(s): ST LUKE'S CORNWALL HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on August 13, 2007. 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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