Stacie Jackson, PA
Surgical Physician Assistant · Jacksonville, FL
Stacie Jackson, PA is a surgical physician assistant with a practice address in Jacksonville, Florida, and NPI 1770248668, issued on Nov 4, 2021. Check the license (Florida PA9115246, as entered in NPPES) on the Florida health license search; the Medicare figures below come from public CMS files.
- Name
- Stacie Jackson
- Credential
- PA
- Primary taxonomy
- Surgical Physician Assistant 363AS0400X
- License numbers
- PA9115246 FL
9115246 FL
Self-reported in NPPES; status is on the state search - Practice location
- 3627 University Blvd S Ste 550, Jacksonville, FL 32216
- Phone
- (904) 379-5986
- Enumerated
- Nov 4, 2021
- Record last updated
- Mar 10, 2025
- Medicare enrollment
- Enrolled (PECOS I20220520002207); accepts Medicare assignment
- Medical or professional school
- Nova Southeastern College Of Osteo Medicine, 2021
- Entity
- Type 1 · individual
8 nearest surgical physician assistant records → All 1,444 in Florida → Look up another NPI →
Also registered at 3627 University Blvd S Ste 550
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Lisa Blackrick, MDOrthopaedic Trauma Physician1386846871
- Elizabeth Cook, ARNP-CAdult Health Nurse Practitioner1831559798
- Lindsey Gabay, PA-CSurgical Physician Assistant1992363733
- Mitchell Owens, PA-CSurgical Physician Assistant1598539215
- Chandler Ruterbusch, DPTPhysical Therapist1689198871
Verify Stacie Jackson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersFlorida health license search
Search for license PA9115246Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
89% fewer Medicare Part D claims than the average surgical physician assistant in 2024
32 Medicare Part D claims for 22 beneficiaries, against an average of 304 among the 10,174 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.
Industry payments in 2024: $155.72
3 payments; by number, the most common kind was food and beverage; the largest payer was Stryker Corporation. The 7,578 providers of this specialty with any payment received $703.95 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Hughston Clinic Southeast PCSanford, FL
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Stacie Jackson among 1,444 surgical physician assistant records in Florida
Stacie Jackson, PA is one of 1,444 surgical physician assistant records with a practice address in Florida. 72% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2021, is newer than 79% of them.
- NPI issued2021 · 79% of these records are older, 16% newer
- In a Medicare fileYes · 72% of these records are
- In the CMS Doctors and Clinicians fileYes · 59% of these records are
- Graduated2021 · median 2015 among the 844 with a school on file
- Record last updated2025 · 47% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363AS0400X and a Florida practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Surgical Physician Assistant providers in Florida
There are 1,444 surgical physician assistant records in Florida.
All 1,444 in Florida → Every provider in Jacksonville → Surgical Physician Assistant nationwide →
The 8 surgical physician assistant records with the nearest ZIP codes
- David Ellerbe, P.A.Jacksonville, FL 322161710192844
- Lindsey Gabay, PA-CJacksonville, FL 322161992363733
- Mitchell Owens, PA-CJacksonville, FL 322161598539215
- Mauricio Vazquez, PA-CJacksonville, FL 322161629845128
- Wendy Ashby, PA-CJacksonville, FL 322171912969015
- Lesley Dorsey, PHYSICIAN ASSISTANTJacksonville, FL 322141790056620
- John Dumas, CSAJacksonville, FL 322181255858650
- Kevin Cofran, PA-CJacksonville, FL 322101871556340
Common questions
What is Stacie Jackson, PA's NPI number?
Stacie Jackson, PA's National Provider Identifier (NPI) is 1770248668, issued on Nov 4, 2021. An NPI identifies a provider in billing; it is not a license.
Where is Stacie Jackson, PA located?
The NPPES record lists a practice address at 3627 University Blvd S Ste 550, Jacksonville, FL, 32216. Phone: (904) 379-5986. Providers update this record themselves, so call before visiting.
How can I verify Stacie Jackson, PA's license?
NPPES lists Florida license number PA9115246, as entered by the provider. Search the Florida health license search at https://mqa-internet.doh.state.fl.us/mqasearchservices/healthcareproviders. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Stacie Jackson, PA prescribe under Medicare Part D?
In 2024, Stacie Jackson, PA had 32 Medicare Part D claims for 22 beneficiaries; the average among surgical physician assistant prescribers was 304. 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.