Active NPI
Marnie Jackson, MD
- Anesthesiology Physician
- Rio Hondo, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- N0852
- Practice address
- 606 S Arroyo Blvd, PO Box 529
Rio Hondo, TX 78583-4165 - Phone
- (956) 226-8389
- Fax
- (956) 630-6643
- NPI assigned
- May 26, 2007
- Last updated
- Nov 22, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Anesthesiology Physician | 207L00000X | N0852 | TX | Primary |
| Pediatrics Physician | 208000000X | N0852 | TX | |
| Pediatric Anesthesiology Physician | 207LP3000X | N0852 | TX |
Addresses
Primary practice location
606 S Arroyo Blvd, PO Box 529
Rio Hondo, TX 78583-4165
Mailing address
606 Arroyo Blvd
Box 529
Rio Hondo, TX 78583-4165
Phone (956) 226-8389
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 197710005 | Medicaid | TX | |
| 8BX291 | Other | TX | BCBS |
| 197710003 | Medicaid | TX | |
| N0852 | Other | TX | STATE LIC |
| 197710006 | Other | TX | CSHCN |
| BP1-0018388 | Other | INSTITUTIONAL PERMIT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Baylor College of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2101 Pease St
Harlingen, TX 78550-8307
Phone (956) 389-2044
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 127663 | CA | MD | Marriage & Family Therapist |
| N0852 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harlingen Anesthesia Associates | Anesthesiology | Current | Accepting new patients |
| Flamingo Anesthesia Associates Inc | Anesthesiology | Current | Accepting new patients |
| Rio Grande Anesthesia & Pain Medicine Consultants, P.a. | Anesthesiology | Current | Accepting new patients |
| Harlingen Anesthesia Associates | Anesthesiology | Past | Accepting new patients |
| Pediatric Anesthesia Consultants of San Antonio PLLC | Anesthesiology | Past | Accepting new patients |
| Texas Institute of Medicine and Surgery | Anesthesiology | Past | Accepting new patients |
| Rio Grande Anesthesia & Pain Medicine Consultants, P .a. | Pediatric Anesthesiology | Past | Accepting new patients |
Locations
501 N Flamingo Rd
Pembroke Pnes, FL 33028
Phone (954) 430-1700
1040 W Jefferson St
Brownsville, TX 78520
Phone (956) 423-4589
1702 N Ed Carey Dr
Harlingen, TX 78550
Phone (956) 423-4589
2101 Pease St
Harlingen, TX 78550
Phone (956) 369-1100
101 E Ridge Rd
McAllen, TX 78503
Phone (956) 632-6000
Organizations & group practices 7
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.
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Anesthesiology
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Valley Baptist Medical Center
- General Acute Care Hospital
- Harlingen, TX
- NPI 1154618742
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732233600000",
"number": "1881805034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "606 ARROYO BLVD",
"address_2": "BOX 529",
"city": "RIO HONDO",
"state": "TX",
"postal_code": "785834165",
"telephone_number": "956-226-8389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "606 S ARROYO BLVD, PO BOX 529",
"city": "RIO HONDO",
"state": "TX",
"postal_code": "785834165",
"telephone_number": "956-226-8389",
"fax_number": "956-630-6643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "MARNIE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-26",
"last_updated": "2024-11-22",
"certification_date": "2024-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "N0852",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "N0852",
"primary": false
},
{
"code": "207LP3000X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pediatric Anesthesiology",
"state": "TX",
"license": "N0852",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "197710005",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8BX291",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "197710003",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LIC",
"identifier": "N0852",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CSHCN",
"identifier": "197710006",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INSTITUTIONAL PERMIT",
"identifier": "BP1-0018388",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rio Hondo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.