Alisha Jackson, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4704314307 Issued in MI

Practice address

120 N Washington SQ
Lansing, MI 48933-1617

Phone

(517) 258-0102

NPI assigned

Oct 4, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Georgetown University School of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Laz Medical Group PCGroup PAC ID 7810887288, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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

• Laz Medical Group PC

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Southfield, MI
  • NPI 1053310128
  Medicare reassignment Care Compare group NPD
• Vitality Visiting Physicians, PLLC

  • General Practice Physician
  • Garden City, MI
  • NPI 1073230876
  Medicare reassignment NPD
• Salzac Medical Group PC

  • Family Medicine Physician
  • Southfield, MI
  • NPI 1679421283
  Medicare reassignment
• Med Clubs

  • Family Medicine Physician
  • Holt, MI
  • NPI 1184238966
  NPD
• Bradley B Bailey MD and Roger B Schechter MD Inc

  • Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
  • San Diego, CA
  • NPI 1831349315
  NPD
• Infinity Visiting Physician Services PLC

  • Internal Medicine Physician
  • Southfield, MI
  • NPI 1437572930
  NPD (past)

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

{
    "created_epoch": "1633305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1083386353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N WASHINGTON SQ",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489331617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N WASHINGTON SQ",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489331617",
            "telephone_number": "517-258-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "ALISHA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-04",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704314307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Izodawn Eye Care PC
• J Wesley Mesko MD PC
• Elizabeth Ann Jablonski, MA, CCC-SLP/L
• Anna Karolina Jachimowicz, PA-C
• Cheryl Bellanca Jack, MD
• Cigne Jackson, AT, ATC
• Curtis Lee Jackson Jr.
• Elizabeth Jackson
• Emily Jackson, PT
• Immanuel Jackson, DO

• Nurse Practitioner in Lansing, MI
• Providers in Lansing, MI by specialty
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; 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.