DR. SHAWNA LYNN JACKSON (AU.D.) – Audiologist, NPI 1104053354

DR. SHAWNA LYNN JACKSON (AU.D.) is a healthcare provider. based in Galveston, Texas. specializing in Audiologist. They hold the professional credentials AU.D.. They hold a License No. 2010020706 (MO). The NPI Number for DR. SHAWNA LYNN JACKSON (AU.D.) is 1104053354

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. SHAWNA LYNN JACKSON (AU.D.)
NPI
1104053354
Phone
(281) 338-0829
Address
700 UNIVERSITY BLVD
Enumeration Date
15 June 2009
Last Update Date
13 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2149053000
Graduation Year
2009 (17 years ago)
PAC ID
4688726268
Group Practice PAC ID
7810971207
Professional Enrollment ID
I20090713000087
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness75
Years active:16State licenses:2Digital endpointsOther names

Provider Addresses for DR. SHAWNA LYNN JACKSON (AU.D.)

  • 700 UNIVERSITY BLVD

    GALVESTON, TX 775505552

    Phone: (281) 338-0829

    Fax: (281) 557-7284

    Type: Location

  • 2895 Facilities Way

    Richardson, TX 750800034

    Phone: (972) 883-3660

    Fax: (972) 883-3622

    Type: Location

  • 1966 Inwood Rd

    Dallas, TX 752357298

    Phone: (972) 883-3000

    Fax: (972) 883-3068

    Type: Location

  • 1966, Inwood Road, Dallas, TX, Dallas, Dallas County, Texas, 75209, United States

    DALLAS, TX 752357298

    Phone: (214) 905-3000

    Fax: (214) 905-3022

    Type: Mailing

  • 1966 INWOOD RD

    DALLAS, TX 752357298

    Phone: (972) 883-3000

    Fax: (972) 883-3068

    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: 2009-07-13

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090713000087IQualified AudiologistTXTBD

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
92567Test to assess middle ear function5454$0
92553Test for hearing various pitches using earphone and device placed against the bone4040$0
92557Comprehensive hearing and speech recognition test3838$0
92550Test for eardrum and muscle function1717$0
View full utilization report →

Insurance plans in this area (ZIP 77550)

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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: 7810971207View full group profile
NameSpecialtyState
Qualified AudiologistTX
Qualified AudiologistTX
-TX
Qualified AudiologistTX
Qualified AudiologistTX
Qualified AudiologistTX
Qualified AudiologistTX
Qualified AudiologistTX
-TX
Qualified AudiologistTX

Reviews

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Frequently asked questions

What NPI should I save for DR. SHAWNA LYNN JACKSON (AU.D.)?
Save NPI 1104053354 if you need a stable reference for DR. SHAWNA LYNN JACKSON (AU.D.).
Is DR. SHAWNA LYNN JACKSON (AU.D.) currently active in the NPI registry?
CMS-published data lists DR. SHAWNA LYNN JACKSON (AU.D.) as an active registrant.
Can you summarize DR. SHAWNA LYNN JACKSON (AU.D.)'s specialty in plain language?
Clinically, the directory lists DR. SHAWNA LYNN JACKSON (AU.D.) with Audiologist. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. SHAWNA LYNN JACKSON (AU.D.)?
The page summarizes Galveston, Texas for DR. SHAWNA LYNN JACKSON (AU.D.); expand the address list for detail.
Is DR. SHAWNA LYNN JACKSON (AU.D.) a real provider?
This page reflects official NPPES data for NPI 1104053354. Always confirm identity and privileges with the practice and licensing boards.

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