MRS. KRISTIE LYNN JACKSON NP
NPI 1053407817
Nurse Practitioner - Family in Blacksburg, VA
About Mrs. Kristie Lynn Jackson Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KRISTIE LYNN JACKSON NP (NPI 1053407817) is an individual family provider in Blacksburg, Virginia, licensed in Virginia (0024167104) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2006).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Kristie Lynn Jackson Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
5Medicare enrollment records show Kristie Jackson reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Blacksburg, VA 24060
- Reassigned Medicare billing, Virginia enrollment
- 84 clinicians in this Medicare group
Pulaski, VA 24301
- Reassigned Medicare billing, Virginia enrollment
- 66 clinicians in this Medicare group
Pulaski, VA 24301
- Reassigned Medicare billing, Virginia enrollment
- 104 clinicians in this Medicare group
Salem, VA 24153
- Reassigned Medicare billing, Virginia enrollment
- 130 clinicians in this Medicare group
Lawrenceburg, TN 38464
- Reassigned Medicare billing, Virginia enrollment
- 85 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 24060 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BLACKSBURG, VA 24060
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kristie Jackson's NPI number?
The NPI number for Kristie Jackson is 1053407817. It was assigned to this individual provider in the NPPES registry on October 5, 2006.
Where is Kristie Jackson located?
Kristie Jackson practices at 3700 South Main Street, Blacksburg, VA 24060. The listed phone number is (540) 953-5385.
What is Kristie Jackson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kristie Jackson enrolled in Medicare?
Yes. Kristie Jackson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Kristie Jackson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristie Jackson reassigns Medicare benefits to 5 organizations: Wildwood Emergency Group, LLC (Blacksburg, VA), Kingsford Emergency Group, LLC (Pulaski, VA), Kingsford Physician Services, LLC (Pulaski, VA), Lake Spring Emergency Group, LLC (Salem, VA) and Emergency Coverage Services, PC (Lawrenceburg, TN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kristie Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kristie Jackson accept?
Health plans from Oscar Health and Oscar Insurance Company list Kristie Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kristie Jackson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mrs. Kristie Lynn Jackson, NP · NPI 1053407817
Family physician in Blacksburg, Virginia. Individual provider, active in the CMS NPPES registry since October 5, 2006.
## Identity
- **NPI:** 1053407817 (Entity type: Individual)
- **Enumerated:** October 5, 2006
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 0024167104 (Virginia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3700 SOUTH MAIN STREET, Blacksburg, VA 24060
- **Phone:** (540) 953-5385
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Wildwood Emergency Group, LLC (NPI 1013409721, Blacksburg, VA); Kingsford Emergency Group, LLC (NPI 1336631480, Pulaski, VA); Kingsford Physician Services, LLC (NPI 1871088526, Pulaski, VA); Lake Spring Emergency Group, LLC (NPI 1215429600, Salem, VA); Emergency Coverage Services, PC (NPI 1053351593, Lawrenceburg, TN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1053407817) · Data from the CMS NPPES public registry.