Dorian D'Shan Jackson, MSN, APN-C

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

26NJ00070500 Issued in NJ

Practice address

1010 Haddonfield Berlin Rd Ste 400
Voorhees, NJ 08043-3514

Phone

(856) 435-7007

Fax

(856) 435-4372

NPI assigned

Dec 5, 2007

Last updated

Sep 25, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Mrs. Dorian D'Shan Jackson Other name

Electronic endpoints 5

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

81.15 of 100Reported as group

Quality

62.28

Promoting interoperability

100

Improvement activities

40

Cost

74.89

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: djackson254088@directvirtua.org
• Direct secure messaging: dorian.jackson@nj005.digichart.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Virtua Medical Group, PA

  • Family Medicine Physician
  • Marlton, NJ
  • NPI 1649226515
  Medicare reassignment Care Compare group NPD
• Camcare Health Corporation

  • Federally Qualified Health Center (FQHC)
  • Camden, NJ
  • NPI 1790857696
  Medicare reassignment NPD
• Regional Women's Health Group, LLC

  dba Axia Women's Health

  • Obstetrics & Gynecology Physician
  • Voorhees, NJ
  • NPI 1548215536
  Medicare reassignment NPD
• Act on Total Health Medical Group, LLC

  • Family Medicine Physician
  • Northfield, NJ
  • NPI 1952992455
  NPD
• Virtua Medical Group, PA

  dba Virtua Reconstructive Orthopedics - Delran

  • Orthopaedic Surgery Physician
  • Delran, NJ
  • NPI 1841087988
  NPD
• Regional Womens Health Group LLC

  dba Axia Women's Health

  • Obstetrics & Gynecology Physician
  • Phoenixville, PA
  • NPI 1750880118
  NPD
• Ashok K. Keswani, M.D., P.C.

  • Obstetrics & Gynecology Physician
  • Woodbury Heights, NJ
  • NPI 1649239104
  NPD (past)
• Regional Womens Health Group,LLC

  dba RWHG Obstetrics and Gynecology Associates

  • Obstetrics & Gynecology Physician
  • Sewell, NJ
  • NPI 1720471535
  NPD (past)
• Reliance Medical Group, LLC

  • Family Medicine Physician
  • Atlantic City, NJ
  • NPI 1154720613
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1003098633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LIPPINCOTT DRIVE SUITE 410",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100870001",
            "telephone_number": "856-355-0340",
            "fax_number": "856-355-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 HADDONFIELD BERLIN RD STE 400",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080433514",
            "telephone_number": "856-435-7007",
            "fax_number": "856-435-4372"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "817 Federal St",
            "address_purpose": "LOCATION",
            "city": "Camden",
            "state": "NJ",
            "postal_code": "081031539",
            "country_code": "US",
            "telephone_number": "856-541-2229",
            "fax_number": "856-964-0597",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "239 Hurffville Crosskeys Rd Ste 250",
            "address_purpose": "LOCATION",
            "city": "Sewell",
            "state": "NJ",
            "postal_code": "080804006",
            "country_code": "US",
            "telephone_number": "856-262-8300",
            "fax_number": "856-262-1635",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1945 Route 70 E Ste C",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080032160",
            "country_code": "US",
            "telephone_number": "856-325-3760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "DORIAN",
        "middle_name": "D'SHAN",
        "name_prefix": "Mrs.",
        "credential": "MSN, APN-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-05",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NJ",
            "license": "26NJ00070500",
            "primary": true
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "NJ",
            "license": "26NJ00070500",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NO12442500",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0226254",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dorian.jackson@axia.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1010 Haddonfield Berlin Rd Ste 400",
            "city": "Voorhees",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080433514",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "djackson254088@directvirtua.org",
            "affiliation": "N",
            "address_1": "1945 Route 70 E Ste C",
            "city": "Cherry Hill",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080032160",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "djackson254088@directvirtua.org",
            "affiliation": "N",
            "address_1": "412 Ewan Rd Ste E1",
            "city": "Mullica Hill",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080623707",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "djackson254088@directvirtua.org",
            "affiliation": "N",
            "address_1": "200 Bowman Dr Ste 340&E366",
            "city": "Voorhees",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080439623",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "djackson254088@directvirtua.org",
            "affiliation": "N",
            "address_1": "992 Mantua Pike Ste 104",
            "city": "Woodbury Heights",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080971248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DORIAN",
            "last_name": "JACKSON",
            "middle_name": "D'SHAN",
            "prefix": "MRS.",
            "credential": "MSN, APN-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Women's Health Nurse Practitioner in Voorhees, NJ
• Providers in Voorhees, NJ by specialty
• Women's Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.