Jackson Son, - Medicare Nurse Practitioner in Annandale, VA

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Jackson Son, is a medicare enrolled "Nurse Practitioner - Family" in Annandale, Virginia. He graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Ennoble Hc Dmv Llc and his current practice location is 5039 Americana Dr, Annandale, Virginia. You can reach out to his office (for appointments etc.) via phone at (571) 524-0881.

Jackson Son is licensed to practice in Virginia (license number 0024189383) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1265291272.

Contact Information

Jackson Son,
5039 Americana Dr,
Annandale, VA 22003-5068
(571) 524-0881
Not Available

Map and Direction




Provider's Profile

Full NameJackson Son
GenderMale
SpecialityNurse Practitioner
Experience5 Years
Location5039 Americana Dr, Annandale, Virginia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jackson Son graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1265291272
  • Provider Enumeration Date: 03/13/2024
  • Last Update Date: 11/19/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 5496275877
  • Enrollment ID: I20250228001889

Medical Identifiers

Medical identifiers for Jackson Son such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265291272NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 0024189383 (Virginia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ennoble Hc Dmv Llc9032517925112

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jackson Son allows following entities to bill medicare on his behalf.
Entity NameSignify Health LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689158487
PECOS PAC ID: 3274895263
Enrollment ID: O20210226002383
Entity NameEnnoble HC Dmv LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104492115
PECOS PAC ID: 9032517925
Enrollment ID: O20211221000236
Entity NameEnnoble HC Dmv II LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134002900
PECOS PAC ID: 0840789749
Enrollment ID: O20251030002883
Entity NameEnnoble HC Dmv III LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922981695
PECOS PAC ID: 5092205856
Enrollment ID: O20251110001045

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jackson Son is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jackson Son,
5039 Americana Dr,
Annandale, VA 22003-5068

Ph: (571) 524-0881		Jackson Son,
5039 Americana Dr,
Annandale, VA 22003-5068

Ph: (571) 524-0881

Reviews and Comments


Nurse Practitioner Nurses in Annandale, VA

Stacey L Merritt Baker, PNP
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Phone: 571-730-0332    
Didem Turker, NP
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Medicare: Accepting Medicare Assignments
Practice Location: 7821 Wendy Ridge Ln, Annandale, VA 22003
Phone: 703-698-4444    
Ms. Carmella Simmons, MS RN FNP-BC
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Practice Location: 7215 Jayhawk St, Annandale, VA 22003
Phone: 703-914-0222    
Rachel Schwartz,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 7305 Beverly Manor Dr, Annandale, VA 22003
Phone: 703-869-2645    
Mrs. Mary Patricia White, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 7611 Little River Tpke, Suite 108, Annandale, VA 22003
Phone: 703-658-7060    Fax: 703-658-3150
Brenda Holbrook, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4405 Roberts Ave, Annandale, VA 22003
Phone: 703-914-1055    
Nvard Hovsepyan,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 7132 Degroff Ct, Annandale, VA 22003
Phone: 571-265-5851    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.