MRS. DORIAN D'SHAN JACKSON (MSN, APN-C) – Women's Health Nurse Practitioner, NPI 1003098633
Women's Health Nurse Practitioner
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NPPES metrics only — not quality of care.
7,515 NURSE PRACTITIONER in NJ
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Provider Addresses for MRS. DORIAN D'SHAN JACKSON (MSN, APN-C)
817, Federal Street, Downtown, Camden, Camden County, New Jersey, 08103, United States
SUITE 300
CAMDEN, NJ 081031539
Phone: (856) 541-5933
Fax: (856) 541-3340
Type: Mailing
817 Federal St
Camden, NJ 081031539
Phone: (856) 541-2229
Fax: (856) 964-0597
Type: Location
239 Hurffville Crosskeys Rd Ste 250
Sewell, NJ 080804006
Phone: (856) 262-8300
Fax: (856) 262-1635
Type: Location
1945 Route 70 E Ste C
Cherry Hill, NJ 080032160
Phone: (856) 325-3760
Type: Location
PO BOX 22581
NEW YORK, NY 100872581
Phone: (856) 669-6050
Fax: (856) 541-3340
Type: Mailing
301 LIPPINCOTT DRIVE SUITE 410
NEW YORK, NY 100870001
Phone: (856) 355-0340
Fax: (856) 355-0330
Type: Mailing
1010 HADDONFIELD BERLIN RD STE 400
VOORHEES, NJ 080433514
Phone: (856) 435-7007
Fax: (856) 435-4372
Type: Location
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: 2008-06-16
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 |
|---|---|---|---|---|
| I20080616000014 | I | Nurse Practitioner | NJ | 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 08103)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NJ | |
| Advanced Heart Failure And Transplant Cardiology | MD | |
| - | NJ | |
| - | NJ | |
| G A S T R O E N T E R O L O G Y | NJ | |
| - | NJ | |
| Nurse Practitioner | NJ | |
| Nurse Practitioner | NJ | |
| - | NJ | |
| - | NJ |
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