Ilissa D. Jackson, PA-C
Physician Assistant · New York, NY
Ilissa D. Jackson, PA-C is a physician assistant with a practice address in New York, New York, and NPI 1609838358, issued on Apr 6, 2006. Check the license (New York 23-015052, as entered in NPPES) with the New York board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Ilissa D. Jackson
- Credential
- PA-C
- Primary taxonomy
- Physician Assistant 363A00000X
- License numbers
- 23-015052 NY
PA9103627 FL
Self-reported in NPPES; status is on the state search - Practice location
- 100 East 77TH St, New York, NY 10075
- Phone
- (516) 823-8010
- Enumerated
- Apr 6, 2006
- Record last updated
- Apr 12, 2012 (not updated in 14 years: call before relying on the address or phone)
- Fax
- (516) 823-8290
- Medicare enrollment
- Enrolled (PECOS I20111104000043); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 15,555 in New York → Look up another NPI →
Also registered at 100 East 77TH St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Christopher Dixon, M.DUrology Physician1134113673
- Aaron Potash, MDPediatrics Physician1730573940
Verify Ilissa D. Jackson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich New York board licenses this profession
Search for license 23-015052Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
97% fewer Medicare Part D claims than the average physician assistant in 2024
22 Medicare Part D claims for 22 beneficiaries, against an average of 830 among the 101,058 providers of this specialty who prescribed in Part D. Brand-name drugs were 0% of claims. 20 claims were for opioids.
Most prescribed
- Oxycodone Hcl18 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 91.3 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- North Shore-Lij Medical PCNew York, NY
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Ilissa D. Jackson among 15,555 physician assistant records in New York
Ilissa D. Jackson, PA-C is one of 15,555 physician assistant records with a practice address in New York. 74% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 1% of them.
- NPI issued2006 · 1% of these records are older, 87% newer
- In a Medicare fileYes · 74% of these records are
- In the CMS Doctors and Clinicians fileYes · 52% of these records are
- Graduated2005 · median 2018 among the 8,158 with a school on file
- Record last updated2012 · 48% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
3,108 physician assistant records list a practice address in New York
They are 3,108 of the 98,468 NPPES records with a practice address in New York, and 15,555 physician assistant records in New York.
All 15,555 in New York → Every provider in New York → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
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- Selene Liszka, PA-CNew York, NY 100751609100122
- Julia Marvel, PANew York, NY 100751366462947
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Common questions
What is Ilissa D. Jackson, PA-C's NPI number?
Ilissa D. Jackson, PA-C's National Provider Identifier (NPI) is 1609838358, issued on Apr 6, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Ilissa D. Jackson, PA-C located?
The NPPES record lists a practice address at 100 East 77TH St, New York, NY, 10075. Phone: (516) 823-8010. Providers update this record themselves, so call before visiting.
How can I verify Ilissa D. Jackson, PA-C's license?
NPPES lists New York license number 23-015052, as entered by the provider. Search the New York board that licenses this profession; the NPPES record confirms identity only.
How much does Ilissa D. Jackson, PA-C prescribe under Medicare Part D?
In 2024, Ilissa D. Jackson, PA-C had 22 Medicare Part D claims for 22 beneficiaries; the average among physician assistant prescribers was 830. Part D covers Medicare prescriptions only.
What is Ilissa D. Jackson, PA-C's MIPS final score?
The 2023 MIPS final score is 91.3 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.