Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Mrs. Jessica Elise Jackson, PA-C

Individual provider Physician Assistant · NPI 1023553187

Mrs. Jessica Elise Jackson, PA-C is a Physician Assistant in Moore, Oklahoma. Qualified in 2016, 10 years ago. Practices with Icare Center LLC, a 26-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
10
Licensed in
OK
In the registry since
2016
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2109 S Santa Fe Ave
Moore, OK 73160-2807
Phone: (405) 213-0256
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2525 Nw Expressway St Ste 102, Oklahoma City, OK 73112-7200 — (405) 213-0192

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2725 (OK)
Physician Assistant Taxonomy 363A00000X (OK)

Record details

NPI number1023553187
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 28, 2016
Last updated in NPPESJanuary 16, 2020
Certification dateJanuary 16, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Icare Center Llc — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients49
Services billed 232 a service is one billed item, such as a visit, a test or a procedure
Average patient age69

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Icare Center LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 26 clinicians in the practice; 12 are shown here.

Other providers in Moore