MRS. KRISTIE LYNN JACKSON NP
NPI 1053407817
Nurse Practitioner - Family in Blacksburg, VA

Active since October 05, 2006PECOS EnrolledAccepts Medicare Assignment
97.67/100
CMS Quality Rating
3700 SOUTH MAIN STREET, BLACKSBURG, VA 24060(540) 953-5385 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1053407817
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KRISTIE LYNN JACKSONCredential: NP
Location Address3700 SOUTH MAIN STREETBlacksburg, VA 24060
Mailing Address2900 Mudpike RoadChristiansburg, VA 24073 · (540) 382-9139
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateOctober 5, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1053407817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in VA · 0024167104
3700 SOUTH MAIN STREET, Blacksburg, VA 24060

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID3476724287
PECOS Enrollment IDI20110927000249
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
152 services148 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
78 services75 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
12 services12 patients

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.

New Patient
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

97.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost92.24

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.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$81.77 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$28.34 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Family Medicine
3700 SOUTH MAIN STREET
BLACKSBURG, VA 24060
Student in an Organized Health Care Education/Training Program
3700 SOUTH MAIN STREET
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.

What insurance does Kristie Jackson accept?

Health plans from 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 with the weekly NPPES data releases published by CMS.