Samuel Wesley Jackson, MD
Psychiatry Physician · Chicago, IL
Samuel Wesley Jackson, MD is a psychiatry physician with a practice address in Chicago, Illinois, and NPI 1114480001, issued on Apr 9, 2019. Check the license (Illinois 169934, as entered in NPPES) on the Illinois Department of Financial and Professional Regulation; the Medicare figures below come from public CMS files.
- Name
- Samuel Wesley Jackson
- Credential
- MD
- Primary taxonomy
- Psychiatry Physician 2084P0800X
- License number
- 169934 IL
Self-reported in NPPES; status is on the state search - Practice location
- 5215 N California Ave FL 7, Chicago, IL 60625
- Phone
- (718) 270-8867
- Enumerated
- Apr 9, 2019
- Record last updated
- Nov 26, 2024
- Medicare enrollment
- Enrolled (PECOS I20250103002976); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest psychiatry physician records → All 2,147 in Illinois → Look up another NPI →
Also registered at 5215 N California Ave FL 7
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Micaela Bowers, MDInternal Medicine Physician1538554043
- Amanda Buck, DOObstetrics & Gynecology Physician1104481332
- Yesenia Ceja, PNPPediatric Nurse Practitioner1194303347
- Catherine Dezynski, WHNP, CNMAdvanced Practice Midwife1932409489
- Anisha Gill, FNP-CFamily Nurse Practitioner1326773870
- Rachael Grundman, MDObstetrics & Gynecology Physician1710507538
Verify Samuel Wesley Jackson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersIllinois Department of Financial and Professional Regulation
Search for license 169934Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
95% fewer Medicare Part D claims than the average psychiatry physician in 2024
54 Medicare Part D claims for 14 beneficiaries, against an average of 1,000 among the 35,054 providers of this specialty who prescribed in Part D.
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.
Bills Medicare through one group practice
- Erie Family Health Center, IncChicago, IL
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Samuel Wesley Jackson among 2,147 psychiatry physician records in Illinois
Samuel Wesley Jackson, MD is one of 2,147 psychiatry physician records with a practice address in Illinois. 69% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2019, is newer than 78% of them.
- NPI issued2019 · 78% of these records are older, 19% newer
- In a Medicare fileYes · 69% of these records are
- In the CMS Doctors and Clinicians fileYes · 41% of these records are
- Graduated2019 · median 2004 among the 877 with a school on file
- Record last updated2024 · 53% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2084P0800X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
841 psychiatry physician records list a practice address in Chicago
They are 841 of the 63,379 NPPES records with a practice address in Chicago, and 2,147 psychiatry physician records in Illinois.
All 2,147 in Illinois → Every provider in Chicago → Psychiatry Physician nationwide →
The 8 psychiatry physician records with the nearest ZIP codes
- Eric Ahlgren, M.D.Chicago, IL 606251912280512
- Eldin Dzudza, M.D.Chicago, IL 606251932158359
- Jonathan Getz, M.D.Chicago, IL 606251386683969
- Adam Goldenberg, MDChicago, IL 606251932669470
- Robert Marvin, M.D.Chicago, IL 606251215940424
- David Michael, D.O.Chicago, IL 606251518300375
- Doug Monteith, M.D.Chicago, IL 606251992878573
- Maria Ponton, MDChicago, IL 606251457485567
Common questions
What is Samuel Wesley Jackson, MD's NPI number?
Samuel Wesley Jackson, MD's National Provider Identifier (NPI) is 1114480001, issued on Apr 9, 2019. An NPI identifies a provider in billing; it is not a license.
Where is Samuel Wesley Jackson, MD located?
The NPPES record lists a practice address at 5215 N California Ave FL 7, Chicago, IL, 60625. Phone: (718) 270-8867. Providers update this record themselves, so call before visiting.
How can I verify Samuel Wesley Jackson, MD's license?
NPPES lists Illinois license number 169934, as entered by the provider. Search the Illinois Department of Financial and Professional Regulation at https://idfpr.illinois.gov/checklicense.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Samuel Wesley Jackson, MD prescribe under Medicare Part D?
In 2024, Samuel Wesley Jackson, MD had 54 Medicare Part D claims for 14 beneficiaries; the average among psychiatry physician prescribers was 1,000. Part D covers Medicare prescriptions only.
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.