MS. CHELSEA ALANE JACKSON (PA) – Physician Assistant, NPI 1881075661
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
Provider Addresses for MS. CHELSEA ALANE JACKSON (PA)
PO BOX 790
EDWARDSVILLE, IL 620250790
Phone: (866) 724-6658
Fax: (314) 989-3703
Type: Mailing
2133 VADALABENE DR
SUITE 1
MARYVILLE, IL 620625839
Phone: (618) 288-4350
Fax: (618) 288-4296
Type: Location
PO BOX 7412011
CHICAGO, IL 606742011
Phone: (314) 362-7200
Fax: (314) 747-4189
Type: Mailing
510 S KINGSHIGHWAY BLVD
DEPT RADIOLOGY
SAINT LOUIS, MO 631101016
Phone: (314) 362-7200
Fax: (314) 747-4189
Type: Location
660 S EUCLID AVE
CB 8127
SAINT LOUIS, MO 631101010
Phone: (314) 362-3500
Fax: (314) 747-7065
Type: Mailing
4921 PARKVIEW PL
DIV IM ENDOCRINOLOGY, STE 13B
SAINT LOUIS, MO 631101032
Phone: (314) 747-7300
Fax: (314) 747-7065
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 $16.
Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.
Last reported payment date: 2023-06-01 • Largest payer in this snapshot: Novo Nordisk Inc ($16).
Total Amount
$16
General + Research + Ownership
Payments
1
Total payment records
General Amount
$16
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $16 |
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: 2021-09-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210913000564 | I | Physician Assistant | MO | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 119 | 112 | $0 |
| 95251 | Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report | 109 | 92 | $0 |
| 83036 | Hemoglobin a1c level | 104 | 100 | $0 |
| 82947 | Blood glucose (sugar) level | 41 | 41 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 33 | 32 | $0 |
Insurance plans in this area (ZIP 62025)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| - | MO | |
| - | FL | |
| - | MO | |
| Diagnostic Radiology | IL | |
| - | IL | |
| - | MO | |
| - | MO | |
| - | MO | |
| - | MO |
Reviews
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