NISHA JACKSON PC
NPI 1083566806
Clinic/Center - Rural Health in Mcminnville, OR
About Nisha Jackson Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NISHA JACKSON PC (NPI 1083566806) is a healthcare organization registered as a rural health in Mcminnville, Oregon and active in the NPI registry since February 2026. The organization holds an CLIA Accreditation certificate valid through March 28, 2027 and lists Karissa Stults, Vp Of Billing And Contracting, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Accreditation 38D2104973
Nisha Jackson Inc, Dba Onepeak Medical · Medford, OROther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MCMINNVILLE, OR 97128
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 Nisha Jackson PC's NPI number?
The NPI number for Nisha Jackson PC is 1083566806. It was assigned to this organization in the NPPES registry on February 12, 2026.
Where is Nisha Jackson PC located?
Nisha Jackson PC is located at 235 SE Norton Ln Ste C, Mcminnville, OR 97128. The listed phone number is (503) 225-0382.
What is Nisha Jackson PC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Does Nisha Jackson PC hold a CLIA laboratory certificate?
Yes. A Certificate of Accreditation (number 38D2104973) is associated with this NPI, valid through March 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Nisha Jackson PC was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Nisha Jackson Pc · NPI 1083566806
Rural Health organization in Mcminnville, Oregon. Organization record, active in the CMS NPPES registry since February 12, 2026.
## Identity
- **NPI:** 1083566806 (Entity type: Organization)
- **Enumerated:** February 12, 2026
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Organization subpart:** No
- **Authorized official:** Karissa Stults, VP OF BILLING AND CONTRACTING
## Practice location
- **Address:** 235 SE NORTON LN STE C, Mcminnville, OR 97128-8479
- **Phone:** (503) 225-0382
## Record status
- **NPPES last updated:** July 23, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1083566806) · Data from the CMS NPPES public registry.