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CHRISTOPHER H JACKSON PA-C
NPI 1063524155
Physician Assistant in Indian Lake, NY

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
6356 NYS ROUTE 30, INDIAN LAKE, NY 12842(518) 648-5707(518) 648-6160 Get Directions Write a Review

NPPES record last updated: December 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 29, 2025, May 22, 2025, Dec 20, 2024 and 2 more (5 updates tracked since 2017).

About Christopher H Jackson Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHRISTOPHER H JACKSON PA-C (NPI 1063524155) is an individual physician assistant in Indian Lake, New York, licensed in New York (006846) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Albany Medical Center Hospital, and maintains a secondary practice location in North Creek.

NPPES Registry Identity

NPI1063524155
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameCHRISTOPHER H JACKSONCredential: PA-C
Location Address6356 NYS ROUTE 30Indian Lake, NY 12842-2021
Mailing Address9 Carey RdQueensbury, NY 12804-7880 · (518) 761-0300
Phone(518) 648-5707
Fax(518) 648-6160
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 1997
Enumeration DateAugust 31, 2006
Last NPPES UpdateDecember 29, 20255 updates tracked since enumeration
NPPES CertifiedDecember 29, 2025
✔ NPI 1063524155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 006846
Definition
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.
6356 NYS ROUTE 30, Indian Lake, NY 12842
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Secondary Practice Location 1

Location 1126 Ski Bowl RdNorth Creek, NY 12853-2607 · Phone (518) 251-2541 · Fax (518) 251-3055

Other Identifiers 1

Medicaid02346647NY

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

Christopher H 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.

PECOS PAC ID1658550264
PECOS Enrollment IDI20110128000502
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 4

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.

Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
22 services11 patients
Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005
An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.
20 services20 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
19 services17 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
19 services18 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Albany Medical Center Hospital

Acute Care Hospitals · Albany, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330013
Location43 New Scotland Avenue, Mail Code 34Albany, NY 12208 · Albany County
Emergency services Birthing friendly

Glens Falls Hospital

Acute Care Hospitals · Glens Falls, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330191
Location100 Park StreetGlens Falls, NY 12801 · Warren County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12842 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 12

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims330 services$3.27 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier17 claims17 services$19.98 avg. paid by Medicare
Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
2 suppliers14 claims16 services$15.09 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier15 claims15 services$7.28 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
3 suppliers11 claims13 services$44.02 avg. paid by Medicare
Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each E0955
DME-Wheelchairs · category DD021N
2 suppliers30 claims32 services$13.16 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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HUDSON HEADWATERS HEALTH NETWORK
Clinic/Center (Primary Care)
6356 NYS ROUTE 30
INDIAN LAKE, NY 12842
Hamilton County (518) 648-5707

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 Christopher Jackson's NPI number?

The NPI number for Christopher Jackson is 1063524155. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Christopher Jackson located?

Christopher Jackson practices at 6356 Nys Route 30, Indian Lake, NY 12842. The listed phone number is (518) 648-5707.

What is Christopher Jackson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Christopher Jackson enrolled in Medicare?

Yes. Christopher 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.

Is Christopher Jackson affiliated with any hospitals?

According to CMS data, Christopher Jackson is affiliated with Albany Medical Center Hospital and Glens Falls Hospital.

When was this NPI record last updated?

The NPPES record for Christopher Jackson was last updated on December 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.