ANDREA M. JACKSON (M.D.) – Obstetrics & Gynecology Physician, NPI 1528179215
Obstetrics & Gynecology Physician
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NPPES metrics only — not quality of care.
183 OBSTETRICS/GYNECOLOGY in DE
Provider Addresses for ANDREA M. JACKSON (M.D.)
801 Middleford Rd
Seaford, DE 199733636
Phone: (302) 629-6611
Type: Location
101 E Charles St Ste 104
LA Plata, MD 206464901
Phone: (301) 609-4800
Type: Location
Charlottesville Post Office, 1155, Seminole Trail, Westfield, Charlottesville, Albemarle County, Virginia, 22906, United States
CHARLOTTESVILLE, VA 229069007
Phone:
Type: Mailing
Locust Grove Title & Settlement, Germanna Highway, Lake of the Woods, Orange County, Virginia, 22741, United States
LOCUST GROVE, VA 225082008
Phone: (540) 972-7798
Fax: (540) 972-3536
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $14.
Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.
Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Smith+Nephew, Inc. ($14).
Total Amount
$14
General + Research + Ownership
Payments
1
Total payment records
General Amount
$14
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $14 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-12-31
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 7 Medicare enrollment records; no due dates published yet.
Enrollment records
7
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100719000682 | I | Obstetrics/Gynecology | VA | TBD |
| I20221114003142 | I | Obstetrics/Gynecology | DE | TBD |
| I20230816000893 | I | Obstetrics/Gynecology | NJ | TBD |
| I20230820000003 | I | Obstetrics/Gynecology | FL | TBD |
| I20230901003466 | I | Obstetrics/Gynecology | GA | TBD |
| I20240213004655 | I | Obstetrics/Gynecology | DC | TBD |
| I20241231001609 | I | Obstetrics/Gynecology | MD | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 19973)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | VA | |
| - | VA | |
| A N E S T H E S I O L O G Y | FL | |
| - | NC | |
| P S Y C H I A T R Y | VA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | VA | |
| Orthopedic Surgery | VA | |
| Family Practice | VA | |
| Nurse Practitioner | NC | |
| Diagnostic Radiology, Interventional Radiology, Interventional Radiology | VA |
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