Listed in the NPI registry as a nurse practitioner, Samala Jackson, CRNP practices in Berwyn, PA. Samala is also listed as specializing in nurse practitioner — gerontology. According to Medicare claims data, Samala cared for 116 Medicare patients across 368 services.
Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it.
Source: NPPES NPI Registry
1055 WESTLAKES DR STE 3152
Berwyn, PA 19312
368 services · 116 patients · 3 distinct codes
| Procedure | Type | Code | Services |
|---|---|---|---|
| Influenza vaccine, trivalent derived from cell cultures | Treatment | 90661 |
16 |
| Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | Office visit | 99349 |
334 |
| Administration of influenza virus vaccine | Billing code | G0008 |
18 |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Dr. Jackson is a nurse practitioner in Berwyn, PA. This is the primary taxonomy recorded against the NPI in the federal registry, listed there as “NURSE PRACTITIONER”.
NPI registry
Dr. Jackson is listed at 1055 WESTLAKES DR STE 3152, Berwyn, PA 19312. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
The number on file is (215) 346-6050. Guide.md cannot book appointments or pass on messages — please call the office directly.
NPI registry
Dr. Jackson's National Provider Identifier is 1184362600. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Dr. Jackson attended Other, graduating in 2017. This comes from the CMS National Downloadable File.
CMS public data
Dr. Jackson has 9 years experience. Calculated from a graduation year of 2017, reported in the CMS National Downloadable File.
CMS public data
According to Medicare billing data, Dr. Jackson provides treatments such as influenza vaccine, trivalent derived from cell cultures, alongside routine visits and testing. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Not yet. This profile is built from public federal data and has not been confirmed by Dr. Jackson. If this is you, claiming it is free.
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Claim this profileProvider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.