MRS. SHAYLA JACKSON (PA-C) – Physician Assistant, NPI 1679824064
Physician Assistant
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
9,691 PHYSICIAN ASSISTANT in PA
Provider Addresses for MRS. SHAYLA JACKSON (PA-C)
5200 CENTRE AVE STE 715
PITTSBURGH, PA 152321327
Phone:
Type: Mailing
6998 CRIDER RD
MARS, PA 16046
Phone: (724) 778-3627
Type: Location
5200 Centre Ave Ste 715
Pittsburgh, PA 152321327
Phone: (412) 864-7521
Type: Location
14555 W National Ave
New Berlin, WI 531514494
Phone: (262) 693-4312
Type: Location
1441 Branding Ave Ste 310
Downers Grove, IL 605155624
Phone: (708) 634-0950
Fax: (708) 634-0942
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $252.
Total Amount is formed as General ($252) + Research ($0) + Ownership ($0) = $252.
Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Progenics Pharmaceuticals, Inc. ($125).
Total Amount
$252
General + Research + Ownership
Payments
3
Total payment records
General Amount
$252
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Progenics Pharmaceuticals, Inc. | $125 |
| ABBVIE INC. | $96 |
| Novartis Pharmaceuticals Corporation | $31 |
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: 2025-10-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20220520000905 | I | Physician Assistant | NC | TBD |
| I20250416001526 | I | Physician Assistant | WI | TBD |
| I20250512003125 | I | Physician Assistant | IL | TBD |
| I20251027002567 | I | Physician Assistant | GA | 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 15232)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.