Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KATHLEEN J. JACKSON RN-APN
NPI 1073619037
Nurse Practitioner - Family in Taos, NM

Q: What is Kathleen Jackson's NPI number?

The NPI number for Kathleen Jackson is 1073619037. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Q: What is Kathleen Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kathleen Jackson was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days 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.

Active since September 16, 2006PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

1331 MAESTAS RD, TAOS, NM 87571(575) 776-7806(575) 224-3348 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 8, 2026, Apr 24, 2026, Sep 30, 2024 and 2 more (5 updates tracked since 2023).

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About Kathleen J. Jackson Rn-apn NPPES

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

KATHLEEN J. JACKSON RN-APN (NPI 1073619037) is an individual family provider in Taos, New Mexico, licensed in New Jersey (26NN06425500) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Holy Cross Hospital A Div Of Taos Health Systems, and maintains 7 additional practice locations.

NPPES Registry Identity

NPI1073619037

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKATHLEEN J. JACKSONCredential: RN-APN

Location Address1331 MAESTAS RDTaos, NM 87571-6268

Mailing Address602 Wcuthbert Blvd Unit 26 Ste A, Unit 26, Suite AWestmont, NJ 08108-4197 · (856) 946-5180 · Fax (856) 946-5181

Phone(575) 776-7806

Fax(575) 224-3348

Sole ProprietorNo

Medical School CMSOtherGraduated 1989

Enumeration DateSeptember 16, 2006

Last NPPES UpdateJuly 8, 20265 updates tracked since enumeration

NPPES CertifiedJuly 8, 2026

✔ NPI 1073619037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NJ · 26NN06425500

Also ListedNurse PractitionerTaxonomy 363L00000X · License TP001754C (PA)

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 26NN06425500 (NJ)

1331 MAESTAS RD, Taos, NM 87571

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Secondary Practice Locations 7

Location 1602 W Cuthbert Blvd Unit 26Haddon Township, NJ 08108-3642 · Phone (856) 946-5180 · Fax (856) 946-5181

Location 2239 Hurffville Crosskeys Rd Ste 160Sewell, NJ 08080-4005 · Phone (856) 341-8200 · Fax (856) 341-8215

Location 3158 Route 73 Ste BVoorhees, NJ 08043-9539 · Phone (856) 247-7230 · Fax (856) 247-7231

Location 4555 High St Ste 16AMount Holly, NJ 08060-1084 · Phone (609) 444-5610 · Fax (609) 444-5611

Location 5128 Route 70 Ste 1Medford, NJ 08055-2371 · Phone (609) 367-0900 · Fax (609) 367-0901

Location 6401 Young Ave Ste 180Moorestown, NJ 08057-3139 · Phone (856) 291-8600 · Fax (856) 291-8610

Location 7315 Route 70 E Ste ACherry Hill, NJ 08034-2408 · Phone (856) 375-6240 · Fax (856) 375-6241

Other Identifiers 4

Other9765851NJ · Cigna

Other60037187NJ · Horizon Nj Health

OtherP3845837/2854869NJ · Oxford/united Hlth.

Medicaid8780803NJ

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

Kathleen J. Jackson Rn-apn 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 ID8224129002

PECOS Enrollment IDI20070808000496, I20240613001289

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 2

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

26 services26 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

23 services20 patients

Hospital Affiliations CMS Care Compare

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

Holy Cross Hospital A Div Of Taos Health Systems

Critical Access Hospitals · Taos, NM

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number321310

Location1397 Weimer RoadTaos, NM 87571 · Taos County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87571 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

$84.79 typical visit price

range $54.26 – $166.80

Typical copayment $21.19 (range $13.56 – $41.70)

Most-billed visit code 99203

Established Patient

$96.38 typical visit price

range $17.00 – $135.35

Typical copayment $24.09 (range $4.25 – $33.83)

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 16

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

SUSAN M. AKINS C.N.M.

Midwife