NISHA JACKSON PC
NPI 1124499124
Nurse Practitioner in Medford, OR
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
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nisha Jackson Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
57Medicare enrollment records show 57 clinicians reassign Medicare billing to Nisha Jackson PC, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 13 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 3
Nearest to this location (20)
See all 57Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 1124499124. It was assigned to this organization in the NPPES registry on October 15, 2015.
Where is Nisha Jackson PC located?
Nisha Jackson PC is located at 3265 Hillcrest Park Dr, Medford, OR 97504. The listed phone number is (541) 494-9355.
What is Nisha Jackson PC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Nisha Jackson PC enrolled in Medicare?
Yes. Nisha Jackson PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Nisha Jackson PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 57 clinicians in 3 Medicare specialties reassign their Medicare billing to Nisha Jackson PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (54), Family Practice (2) and General Practice (1). Of these, 6 practice at this address and 13 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Nisha Jackson PC accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Nisha Jackson PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
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 2 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.
# Nisha Jackson Pc · NPI 1124499124
Nurse Practitioner organization in Medford, Oregon. Organization record, active in the CMS NPPES registry since October 15, 2015.
## Identity
- **NPI:** 1124499124 (Entity type: Organization)
- **Enumerated:** October 15, 2015
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **Organization subpart:** No
- **Authorized official:** Karissa Stults, VP OF BILLING AND CONTRACTING
## Practice location
- **Address:** 3265 HILLCREST PARK DR, Medford, OR 97504-7657
- **Phone:** (541) 494-9355 · **Fax:** (541) 210-8724
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 57 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (54), Family Practice (2), General Practice (1); 6 practice at this address and 13 within 10 miles; [full list](https://npiprofile.com/npi/1124499124/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 31, 2026
- **Other identifiers:** Medicaid 012158 (OR)
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Source: [NPI Profile](https://npiprofile.com/npi/1124499124) · Data from the CMS NPPES public registry.