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

NISHA JACKSON PC
NPI 1124499124
Nurse Practitioner in Medford, OR

Q: What is Nisha Jackson PC's NPI number?

The NPI number for Nisha Jackson PC is 1124499124. It was assigned to this organization in the NPPES registry on October 15, 2015.

Q: What is Nisha Jackson PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Nisha Jackson PC was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 October 15, 2015

3265 HILLCREST PARK DR, MEDFORD, OR 97504(541) 494-9355(541) 210-8724 Get Directions Write a Review

NPPES record last updated: July 31, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 31, 2026, Jul 23, 2026, Apr 20, 2026 and 3 more (6 updates tracked since 2023).

On this page

About Nisha Jackson Pc NPPES

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

NISHA JACKSON PC (NPI 1124499124) is a healthcare organization registered as a nurse practitioner in Medford, Oregon and active in the NPI registry since October 2015. The organization lists Karissa Stults, Vp Of Billing And Contracting, as its authorized official.

NPPES Registry Identity

NPI1124499124

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameNISHA JACKSON PC

Location Address3265 HILLCREST PARK DRMedford, OR 97504-7657

Mailing Address3265 Hillcrest Park DrMedford, OR 97504-7657 · (541) 494-9355 · Fax (541) 494-0945

Phone(541) 494-9355

Fax(541) 210-8724

Organization SubpartNo

Authorized OfficialKarissa StultsVp Of Billing And Contracting · (541) 930-8545

Enumeration DateOctober 15, 2015

Last NPPES UpdateJuly 31, 20266 updates tracked since enumeration

NPPES CertifiedJuly 31, 2026

✔ NPI 1124499124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in OR · 086006299N7

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

3265 HILLCREST PARK DR, Medford, OR 97504

Open in Google Maps ↗

Other Identifiers 1

Medicaid012158OR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.Insurance ›

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.

CHRISTA ELANE DEGRAZIA NP

Nurse Practitioner (Women's Health)