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Active NPI 1124555271 Individual Practitioner Female Practitioner

Eileen Jackson , NP

Nurse Practitioner - Family • Commack, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Eileen Jackson, NP is a certified Nurse Practitioner - Family practicing in Commack, NY. With approximately 9 years of clinical experience since completing medical education in 2017, Eileen Jackson delivers high-quality medical care to the local community at 650 COMMACK RD.

Eileen Jackson is affiliated with Memorial Radiation Oncology Group and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, telephone medical discussion with physician. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

650 Commack Rd

Commack, NY 117255404

Telephone 6316234000
Associated Practice Facility / Clinic
🏢 Mskcc Regional Network Facility NPI 1740251297

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Family in Commack, NY

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs +2.4 yrs vs City Avg
City Avg: 6.6 Yrs
State Avg: 9.1 Yrs
Regional Practice Density
24 Specialists

Practicing in Commack, NY (14951 Statewide)

Telehealth Adoption Rate
12.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
81.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jackson (9 Years) 9 Yrs
Commack Specialty Average (6.6 Years) 6.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
245 144 $545.00 $100.77
99442 Telephone medical discussion with physician, 11-20 minutes
63 37 $375.00 $74.97
99213 Established patient office or other outpatient visit, typically 15 minutes
35 33 $375.00 $63.83

Medical Specialties & State Licenses

Nurse Practitioner - Family Primary Specialty

NUCC Taxonomy Code: 363LF0000X

State License NY 341567

Definition to come...

Hospital & Practice Group Affiliations

Memorial Radiation Oncology Group

1275 York Ave, New York, NY 100656007

Phone: 2126392000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Laura Kelly , RD, CSO, CDN

Dietitian, Registered

NPI 1013203702

Registered Dietitian, CSO, CDN

Keri Wagner , NP

Nurse Practitioner - Family

NPI 1053433474

Nurse Practitioner

Dr. Avni Desai , MD

Internal Medicine

NPI 1104010149

Doctor of Medicine (M.D.)

NPI 1255976908

Registered Pharmacist

Dr. Jahan Aghalar , MD

Internal Medicine

NPI 1346474517

Doctor of Medicine (M.D.)

Dana D'antonio

Nurse Practitioner - Adult Health

NPI 1477039550

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 20, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location May 20, 2017

Registered at 650 COMMACK RD, COMMACK, NY 117255404 (Tel: 6316234000)

📍
Updated Business Mailing Address May 20, 2017

Registered at 255 MCKINLEY TER, CENTERPORT, NY 117211311 (Tel: 6313277026)

👤
Provider Name / Credentials Updated May 20, 2017

Recorded as EILEEN JACKSON, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 20, 2017

Nurse Practitioner (License #341567 in NY)

🟢
Initial NPI Registration & Enumeration May 20, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124555271
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 20, 2017
Last Update: May 20, 2017
Sole Proprietor: No

Mailing Address

255 Mckinley Ter

Centerport, NY 117211311

Phone: 6313277026

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.