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JACKSON HOEKSTRA
NPI 1124778022
Student in an Organized Health Care Education/Training Program in Las Vegas, NV

Active since March 24, 2022PECOS Enrolled
3100 N. TENAYA WAY, GRADUATE MEDICAL EDUCATION, LAS VEGAS, NV 89128(702) 962-9549 Get Directions Write a Review

NPPES record last updated: March 24, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jackson Hoekstra NPPES

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

JACKSON HOEKSTRA (NPI 1124778022) is an individual student in an organized health care education/training program in Las Vegas, Nevada and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124778022
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACKSON HOEKSTRA
Location Address3100 N. TENAYA WAY, GRADUATE MEDICAL EDUCATIONLas Vegas, NV 89128-0431
Mailing Address3100 N. Tenaya Way, Graduate Medical EducationLas Vegas, NV 89128-0431
Phone(702) 962-9549
Sole ProprietorNo
Enumeration DateMarch 24, 2022
NPPES CertifiedMarch 24, 2022
✔ NPI 1124778022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3100 N. TENAYA WAY, Las Vegas, NV 89128
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jackson Hoekstra 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.

Other Providers at the Same Location NPPES 20

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

SARA JARATANIAN MD
Student in an Organized Health Care Education/Training Program
3100 N. TENAYA WAY
LAS VEGAS, NV 89128
Clark County (323) 790-9338
DR. ABDUL GADER GHERIANI
Internal Medicine (Gastroenterology)
3100 N. TENAYA WAY, GRADUATE MEDICAL EDUCATION
LAS VEGAS, NV 89128
Clark County (571) 306-9133
ALLISON TURPEN
Emergency Medicine
3100 N. TENAYA WAY, GRADUATE MEDICAL EDUCATION
LAS VEGAS, NV 89128
Clark County (702) 962-9551
KIMBALL CHARLES KAUFMAN IV DO
Internal Medicine
3100 N. TENAYA WAY, ATTN: GRADUATE MEDICAL EDUCATION
LAS VEGAS, NV 89128
Clark County (702) 962-9549
GREGORY YIM
Emergency Medicine
3100 N. TENAYA WAY, GRADUATE MEDICAL EDUCATION
LAS VEGAS, NV 89128
Clark County (702) 962-9551
ROBERT WILLIAM DE MONTE III
Emergency Medicine
3100 N. TENAYA WAY, GRADUATE MEDICAL EDUCATION
LAS VEGAS, NV 89128
Clark County (702) 962-5000
AARON JEET SINGH DO
Internal Medicine
3100 N. TENAYA WAY, GRADUATE MEDICAL EDUCATION
LAS VEGAS, NV 89128
Clark County (714) 519-1555
SARAH SUE HALLER
Student in an Organized Health Care Education/Training Program
3100 N. TENAYA WAY, GRADUATE MEDICAL EDUCATION
LAS VEGAS, NV 89128
Clark County (702) 962-9552

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 Jackson Hoekstra's NPI number?

The NPI number for Jackson Hoekstra is 1124778022. It was assigned to this individual provider in the NPPES registry on March 24, 2022.

Where is Jackson Hoekstra located?

Jackson Hoekstra practices at 3100 N. Tenaya Way Graduate Medical Education, Las Vegas, NV 89128. The listed phone number is (702) 962-9549.

What is Jackson Hoekstra's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jackson Hoekstra enrolled in Medicare?

Yes. Jackson Hoekstra is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jackson Hoekstra was last updated on March 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.