CARLY ANNE JACKSON PA-C
NPI 1053696971
Physician Assistant in Rockford, IL
About Carly Anne Jackson Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARLY ANNE JACKSON PA-C (NPI 1053696971) is an individual physician assistant in Rockford, Illinois and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS, is affiliated with Mid-columbia Medical Center, and is a graduate of Middlesex University School Of Medicine (2009).
NPPES Registry Identity
Specialties & Licenses
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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
Carly Anne Jackson Pa-c 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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mid-Columbia Medical Center
Acute Care Hospitals · The Dalles, OROhsu Hospital And Clinics
Acute Care Hospitals · Portland, ORKlickitat Valley Hospital
Critical Access Hospitals · Goldendale, WAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 61107 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROCKFORD, IL 61107
ROCKFORD, IL 61107
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 Carly Jackson's NPI number?
The NPI number for Carly Jackson is 1053696971. It was assigned to this individual provider in the NPPES registry on October 12, 2011.
Where is Carly Jackson located?
Carly Jackson practices at 324 Roxbury Rd, Rockford, IL 61107. The listed phone number is (815) 398-9491.
What is Carly Jackson's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Carly Jackson enrolled in Medicare?
Yes. Carly 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 Carly Jackson accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Carly 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.
Is Carly Jackson affiliated with any hospitals?
According to CMS data, Carly Jackson is affiliated with Mid-Columbia Medical Center, Ohsu Hospital And Clinics and Klickitat Valley Hospital.
When was this NPI record last updated?
The NPPES record for Carly Jackson was last updated on June 5, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.
