MRS. MELISSA ODETTE VEGA JACKSON (OTR/L) – Occupational Therapist, NPI 1063681526

MRS. MELISSA ODETTE VEGA JACKSON (OTR/L) is a healthcare provider. based in Land o lakes, Florida. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OTR/L. They hold a License No. 12866 (FL). The NPI Number for MRS. MELISSA ODETTE VEGA JACKSON (OTR/L) is 1063681526

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
MRS. MELISSA ODETTE VEGA JACKSON (OTR/L)
NPI
1063681526
Phone
(813) 951-1381
Address
3773 SEVEN SEAS AVE
Enumeration Date
28 February 2008
Last Update Date
27 September 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7276972200
Graduation Year
2005 (21 years ago)
PAC ID
5294016762
Group Practice PAC ID
1759276488
Professional Enrollment ID
I20161222000337
Address ID
FL346677162HU7544XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:18State licenses:2Digital endpointsOther names

1,139 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in FL

Provider Addresses for MRS. MELISSA ODETTE VEGA JACKSON (OTR/L)

  • 3773 SEVEN SEAS AVE

    LAND O LAKES, FL 346382905

    Phone: (813) 951-1381

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2016-12-22

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
I20161222000337IOccupational Therapist In Private 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
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1,745123$0
97140Therapy procedure using manual technique, each 15 minutes875109$0
97022Application of whirlpool therapy57793$0
97035Application of ultrasound, each 15 minutes10228$0
97165Evaluation for occupational therapy, typically 30 minutes8682$0
View full utilization report →

Insurance plans in this area (ZIP 34638)

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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: 1759276488View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeFL
Physician AssistantFL
Orthopedic SurgeryFL
Physician AssistantFL
-FL
Physician AssistantFL
Physician AssistantFL
Physical Therapist In Private PracticeFL
Physician AssistantFL
Physical Therapist In Private PracticeKY

Reviews

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Frequently asked questions

Is MRS. MELISSA ODETTE VEGA JACKSON (OTR/L) listed with a National Provider Identifier?
Yes — MRS. MELISSA ODETTE VEGA JACKSON (OTR/L) has NPI 1063681526 on file in the registry.
Would MRS. MELISSA ODETTE VEGA JACKSON (OTR/L) appear as active to a payer?
You can treat MRS. MELISSA ODETTE VEGA JACKSON (OTR/L) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is MRS. MELISSA ODETTE VEGA JACKSON (OTR/L)?
MRS. MELISSA ODETTE VEGA JACKSON (OTR/L) is associated with Occupational Therapist in the directory — Clinical services aligned with this taxonomy classification.
Is MRS. MELISSA ODETTE VEGA JACKSON (OTR/L) associated with Land O Lakes?
Public fields place MRS. MELISSA ODETTE VEGA JACKSON (OTR/L) around Land O Lakes, Florida. Always confirm the exact site before visiting.
Can I trust this NPI listing for MRS. MELISSA ODETTE VEGA JACKSON (OTR/L)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.