NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Michael R. Jackson, M.D. P.S.

Family Medicine Physician in University Place, WA · enumerated 2012 · authorized official Michael Jackson, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1366701849

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Michael R. Jackson, M.D. P.S.
Practice address 5350 Orchard St W, Suite 202, University Place, WA, 98467
Phone (253) 472-4444
Enumeration date May 3, 2012
Last updated in NPPES May 3, 2012

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 0019523 (WA) Primary

Authorized official

Name Michael Jackson
Title President
Phone (253) 472-4444

Other identifiers

Identifier Type State Issuer
1077510 Medicaid WA -
1043239429 Other - NPI INDIVIDUAL

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Who is the authorized official for Michael R. Jackson, M.D. P.S.?
NPPES lists Michael Jackson (President) as the authorized official for this organization.
What is the NPI number for Michael R. Jackson, M.D. P.S.?
The NPI for Michael R. Jackson, M.D. P.S. is 1366701849, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-05-03.