MRS. KATRINA MARIE JACKSON PA-C - NPI 1073735445 - Physician Assistant in League City, TX

Q: What is Katrina Jackson's NPI number?

The NPI number for Katrina Jackson is 1073735445. It was assigned to this individual provider in the NPPES registry on May 3, 2007.

Q: What is Katrina Jackson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Katrina Jackson was last updated on October 30, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mrs. Katrina Marie Jackson Pa-c NPPES

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

MRS. KATRINA MARIE JACKSON PA-C (NPI 1073735445) is an individual physician assistant in League City, Texas, licensed in Texas (PA030501) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073735445

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMRS. KATRINA MARIE JACKSONCredential: PA-C

Location Address2911 S SHORE BLVD STE 190League City, TX 77573-3919

Mailing Address2523 Potomac DrLeague City, TX 77573-4847 · (281) 557-7640

Phone(281) 538-8188

Fax(281) 538-8189

Sole ProprietorNo

Enumeration DateMay 3, 2007

Last NPPES UpdateOctober 30, 2009

✔ NPI 1073735445 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 TX · PA030501

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.

2911 S SHORE BLVD STE 190, League City, TX 77573

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Other Identifiers 1

Medicare ID-Type Unspecified8C8696TX

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Katrina Marie Jackson Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77573 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

$88.24 typical visit price

range $57.19 – $173.07

Typical copayment $22.06 (range $14.29 – $43.26)

Most-billed visit code 99203

Established Patient

$71.32 typical visit price

range $18.45 – $141.36

Typical copayment $17.83 (range $4.61 – $35.34)

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.

Other Providers at the Same Location NPPES 5

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

ANGELA MURLENE OROZCO FNP

Nurse Practitioner (Family)