Doctor profile · Federal record
Dr. Stacie Jackson, PA
Surgical Physician Assistant (CMS: Physician Assistant) · Physician Assistant · Jacksonville, FL
- NPI 1770248668
- Accepts Medicare
- 5 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
3627 University Blvd S Ste 550
Jacksonville, FL 322167401
(904) 379-5986 - Additional location
-
5540 Ne 4Th St
Ocala, FL 344709512
(352) 547-0878 - Mailing address
-
Po Box 370
Fortson, GA 318080370
Credentials & registration
- NPI registered
- November 2021 — 5 yrs on file
- Profile last updated
- March 10, 2025
- Year of graduation
- 2021 — 5 yrs since
- Specialty taxonomy
- 363AS0400X — NUCC code
- State licenses (2)
- Florida #PA9115246 · Florida #9115246
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1770248668. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
152
Distinct HCPCS
5
Medicare allowed
$16,353
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 99 | 98 | $110 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 17 | 17 | $75 | |
27197 |
Closed treatment of broken and/or dislocated pelvis and/or sacrum | 13 | 13 | $115 | |
99221 |
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 12 | 12 | $71 | |
27245 |
Treatment of broken neck of thigh bone with bone implant | 11 | 11 | $170 |
In context: peer comparison
Among 13 peers in this city , average services per provider: 313. This provider delivers 0.5× the peer median.Open Payments
Industry payments received
All-time total
$156
Transactions
3
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Stryker Corporation | 1 | $120.99 | |
| Dynasplint Systems Inc. | 1 | $20.74 | |
| HERAEUS MEDICAL, LLC. | 1 | $13.99 |
By nature of payment
Hospital affiliations
Frequently asked questions
What is Dr. Stacie Jackson's medical specialty?
Dr. Stacie Jackson practices Surgical Physician Assistant in Jacksonville, FL.
Where does Dr. Stacie Jackson practice?
Dr. Stacie Jackson practices at 3627 University Blvd S Ste 550, Jacksonville, FL 322167401. Office phone: 9043795986.
What is Dr. Stacie Jackson's NPI?
Dr. Stacie Jackson's National Provider Identifier (NPI) is 1770248668, issued by NPPES.
Does Dr. Stacie Jackson accept Medicare assignment?
Yes. Dr. Stacie Jackson accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Stacie Jackson commonly perform?
Top Medicare-reported procedures in 2023: Initial hospital care with straightforward or low-level medical decision making (HCPCS 99222); Established patient office or other outpatient visit (HCPCS 99213); Closed treatment of broken and/or dislocated pelvis and/or sacrum (HCPCS 27197). Source: CMS Medicare Physician & Other Practitioners file.