Individual provider Active NPI

Lindsey Ann Jackson, M.D.

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Boerne, TX
National Provider Identifier
1235576471
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X
License
R1048 Issued in TX
Practice address
1580 S Main St Ste 105
Boerne, TX 78006-3312
Phone
(210) 614-7744
NPI assigned
May 29, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X R1048 TX Primary
Obstetrics & Gynecology Physician 207V00000X R1048 TX

Addresses

Primary practice location

1580 S Main St Ste 105
Boerne, TX 78006-3312

Mailing address

335 E Sonterra Blvd Ste 170
San Antonio, TX 78258-2584
Phone (210) 614-7744

Other practice location 1

335 E Sonterra Blvd Ste 170
San Antonio, TX 78258-2584
Phone (210) 614-7744

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200727001797 TX Practitioner - Obstetrics/Gynecology 4688098452 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Urogynecology of San Antonio PLLCGroup PAC ID 1153745906, 2 clinicians

Practice addresses (Care Compare)

1580 S Main St
Suite 105
Boerne, TX 78006-3312
Phone (830) 355-2343

Hospital & facility affiliations

  • Methodist Hospital Stone Oak Hospital, San Antonio, TX, CCN 670055
  • Baptist Medical Center Hospital, San Antonio, TX, CCN 450058
  • Methodist Hospital Hospital, San Antonio, TX, CCN 450388
  • Peterson Regional Medical Center Hospital, Kerrville, TX, CCN 450007

Merit-based Incentive Payment System (MIPS)

Final score
69.9 of 100Reported as individual
Quality
39.79
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of the uterus44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R1048TXMDFemale Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urogynecology of San Antonio PLLC Urogynecology and Reconstructive Pelvic Surgery CurrentSince Jun 1, 2020 Accepting new patients
Stone Oak Womens Center PA Obstetrics & Gynecology PastSince Jun 1, 2020 Accepting new patients

Locations

1580 S Main St
Ste 105
Boerne, TX 78006
Phone (210) 614-7744

335 E Sonterra Blvd
Ste 170
San Antonio, TX 78258
Phone (210) 614-7744

255 E Sonterra Blvd
Ste 201
San Antonio, TX 78258
Phone (210) 497-7100

Interoperability endpoints

  • Direct secure messaging: lindsey.jackson@uosa.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/DDICCD/Endpoint/DDICCD

Organizations & group practices 2

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1369785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1235576471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 E SONTERRA BLVD STE 170",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782582584",
            "telephone_number": "210-614-7744",
            "fax_number": "210-892-3886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 S MAIN ST STE 105",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780063312",
            "telephone_number": "210-614-7744"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "335 E Sonterra Blvd Ste 170",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782582584",
            "country_code": "US",
            "telephone_number": "210-614-7744",
            "fax_number": "210-892-3886",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "LINDSEY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-29",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "TX",
            "license": "R1048",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "R1048",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boerne, TX

Sources for this page

Verify at the official NPI Registry.