Shanna Jackson, NP
NPI 1710506472 · Family Nurse Practitioner · Moreno Valley, CA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shanna Jackson, NP is a Family Nurse Practitioner provider in Moreno Valley, CA (NPI 1710506472).
Provider details
- NPI number
- 1710506472
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- 755399 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 2 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Alendronate Sodium | 1,253 | 644 |
| Ibandronate Sodium | 50 | 30 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Additional practice locations (1)
- 12815 Heacock StMoreno Valley, CA 92553-3116Phone: (951) 601-6149Fax: (951) 601-6036
Registry dates
- Enumerated
- 2020-04-13
- Last updated
- 2022-04-26
- Certified
- 2022-02-15
Frequently asked questions
- What is Shanna Jackson's NPI number?
- Shanna Jackson's National Provider Identifier (NPI) is 1710506472, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shanna Jackson's specialty?
- Shanna Jackson is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Shanna Jackson located?
- Shanna Jackson's practice location on file with NPPES is 24060 Fir Ave Ste a, Moreno Valley, CA 92553-2895.
- What is Shanna Jackson's phone number?
- The practice phone number listed in the NPPES registry for Shanna Jackson is (951) 247-8005.
- Does Shanna Jackson accept Medicare?
- Shanna Jackson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shanna Jackson's NPI active?
- Yes — Shanna Jackson's NPI (1710506472) is active in the NPPES registry as of the last update on 2022-04-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.