CRYSTAL GAIL JACKSON FNP
NPI 1104786185
Nurse Practitioner - Family in Steele, MO

Active since November 13, 2025PECOS EnrolledAccepts Medicare Assignment
216 W MAIN ST, STEELE, MO 63877(573) 695-2181 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 16, 2025, Nov 21, 2025, Nov 13, 2025 (3 updates tracked since 2025).

About Crystal Gail Jackson Fnp NPPES

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

CRYSTAL GAIL JACKSON FNP (NPI 1104786185) is an individual family provider in Steele, Missouri, licensed in Arkansas (235288) and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1104786185
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCRYSTAL GAIL JACKSONCredential: FNP
Location Address216 W MAIN STSteele, MO 63877-1436
Mailing AddressPo Box 331Rector, AR 72461-0331 · (870) 634-6304
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateNovember 13, 2025
Last NPPES UpdateDecember 16, 20253 updates tracked since enumeration
NPPES CertifiedDecember 16, 2025
NPI 1104786185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in AR · 235288 Licensed in MO · 2025048837
216 W MAIN ST, Steele, MO 63877

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

Crystal Gail Jackson Fnp 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 ID4688166960
PECOS Enrollment IDI20251124003511
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 63877 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

Other Providers at the Same Location NPPES 10

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

Family Medicine
216 W MAIN ST
STEELE, MO 63877
Physician Assistant (Medical)
216 W MAIN ST
STEELE, MO 63877
Clinical Medical Laboratory
216 W MAIN ST
STEELE, MO 63877
Family Medicine
216 W MAIN ST
STEELE, MO 63877
Clinical Medical Laboratory
216 W MAIN ST
STEELE, MO 63877
Family Medicine
216 W MAIN ST
STEELE, MO 63877
Nurse Practitioner
216 W MAIN ST
STEELE, MO 63877
Nurse Practitioner (Family)
216 W MAIN ST
STEELE, MO 63877

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 Crystal Jackson's NPI number?

The NPI number for Crystal Jackson is 1104786185. It was assigned to this individual provider in the NPPES registry on November 13, 2025.

Where is Crystal Jackson located?

Crystal Jackson practices at 216 W Main St, Steele, MO 63877. The listed phone number is (573) 695-2181.

What is Crystal Jackson's specialty?

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

Is Crystal Jackson enrolled in Medicare?

Yes. Crystal 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.

When was this NPI record last updated?

The NPPES record for Crystal Jackson was last updated on December 16, 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.