DR. AMY MARIE JACKSON (D.O.) – Family Medicine Physician, NPI 1033155106

DR. AMY MARIE JACKSON (D.O.) is a healthcare provider. based in Ocoee, Florida. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. OS9293 (FL). The NPI Number for DR. AMY MARIE JACKSON (D.O.) is 1033155106

Main info

Female
Sole Proprietor
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. AMY MARIE JACKSON (D.O.)
NPI
1033155106
Phone
(407) 635-3080
Address
2731 MAGUIRE RD
Enumeration Date
20 June 2006
Last Update Date
7 November 2019

Doctor Profile

Medical School Name
MID WEST MEDICAL COLLEGE
Secondary Phone
4076353080
Graduation Year
2003 (23 years ago)
PAC ID
8325040694
Group Practice PAC ID
7719026251
Professional Enrollment ID
I20070215000569
Address ID
FL347614797OC2731XRDXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

6,722 FAMILY PRACTICE in FL

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Provider Addresses for DR. AMY MARIE JACKSON (D.O.)

  • 2731, Maguire Road, Ocoee, Orange County, Florida, 34761, United States

    OCOEE, FL 347614797

    Phone: (407) 635-3080

    Fax: (407) 636-7804

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 148 Open Payments records for all available years, with a total value of $3,075.

Total Amount is formed as General ($3,075) + Research ($0) + Ownership ($0) = $3,075.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: ABBVIE INC. ($498).

Total Amount

$3,075

General + Research + Ownership

Payments

148

Total payment records

General Amount

$3,075

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2007-02-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070215000569IFamily PracticeFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes279143$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit7676$0
99213Established patient office or other outpatient visit, 20-29 minutes5645$0
G0008Administration of influenza virus vaccine4343$0
90662Influenza vaccine split virus, preservative free3838$0
View full utilization report →

Insurance plans in this area (ZIP 34761)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7719026251View full group profile

Reviews

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Frequently asked questions

What is DR. AMY MARIE JACKSON (D.O.)'s NPI number?
DR. AMY MARIE JACKSON (D.O.)'s NPI is 1033155106 — the number used across U.S. healthcare to identify this provider.
Is there an active status for DR. AMY MARIE JACKSON (D.O.)?
For scheduling context, DR. AMY MARIE JACKSON (D.O.) is shown as active in the registry.
What clinical focus is listed for DR. AMY MARIE JACKSON (D.O.)?
At a glance, DR. AMY MARIE JACKSON (D.O.) is tied to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. AMY MARIE JACKSON (D.O.)?
Directory geography for DR. AMY MARIE JACKSON (D.O.) centers on Ocoee, Florida.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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