DR. GRACE NIGHTINGALE CORTEZ JACKSON (M.D.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1104020775

DR. GRACE NIGHTINGALE CORTEZ JACKSON (M.D.) is a healthcare provider. based in Austin, Texas. specializing in PATHOLOGY. They hold the professional credentials M.D.. They hold a License No. BP1-0016584 (TX). The NPI Number for DR. GRACE NIGHTINGALE CORTEZ JACKSON (M.D.) is 1104020775

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. GRACE NIGHTINGALE CORTEZ JACKSON (M.D.)
NPI
1104020775
Phone
(512) 579-4000
Address
3445 EXECUTIVE CENTER DRIVE
Enumeration Date
14 June 2007
Last Update Date
15 October 2014

Doctor Profile

Medical School Name
BAYLOR COLLEGE OF MEDICINE
Secondary Phone
5125794000
Graduation Year
2004 (22 years ago)
PAC ID
2264583095
Group Practice PAC ID
7113942798
Professional Enrollment ID
I20090707000628
Address ID
TX782583913SA520XXDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

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

1,394 PATHOLOGY in TX

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Provider Addresses for DR. GRACE NIGHTINGALE CORTEZ JACKSON (M.D.)

  • Amy S. Bekanich, MD, 3445, Executive Center Drive, Mesa Forest, Austin, Travis County, Texas, 78731, United States

    SUITE 250

    AUSTIN, TX 787311678

    Phone: (512) 579-4000

    Fax: (512) 439-2814

    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: 2009-07-07

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
I20090707000628IPathologyTXTBD

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
88305Pathology examination of tissue using a microscope, intermediate complexity334253$0
88341Special stained specimen slides to examine tissue, each additional procedure19850$0
88304Pathology examination of tissue using a microscope, moderately low complexity113104$0
88311Preparation of tissue for examination by removing any calcium present10695$0
88307Pathology examination of tissue using a microscope, moderately high complexity9470$0
View full utilization report →

Insurance plans in this area (ZIP 78731)

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Provider's Procedures

DR. GRACE NIGHTINGALE CORTEZ JACKSON (M.D.) performs procedures in PATHOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PATHOLOGYTX88312Special stained specimen slides to identify organisms including interpretation and report7963
PATHOLOGYTX88342Tissue or cell analysis by immunologic technique6253

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: 7113942798View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to DR. GRACE NIGHTINGALE CORTEZ JACKSON (M.D.)?
NPI 1104020775 is assigned to DR. GRACE NIGHTINGALE CORTEZ JACKSON (M.D.) under the national enumeration system.
Is DR. GRACE NIGHTINGALE CORTEZ JACKSON (M.D.)'s NPI currently valid?
The extract we use shows DR. GRACE NIGHTINGALE CORTEZ JACKSON (M.D.) as active.
Does DR. GRACE NIGHTINGALE CORTEZ JACKSON (M.D.) list a primary specialty?
If you are matching referrals, note Anatomic Pathology & Clinical Pathology Physician for DR. GRACE NIGHTINGALE CORTEZ JACKSON (M.D.). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. GRACE NIGHTINGALE CORTEZ JACKSON (M.D.)?
The page summarizes Austin, Texas for DR. GRACE NIGHTINGALE CORTEZ JACKSON (M.D.); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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