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CHIQUITA MICHONE THOMAS-JACKSON NP
NPI 1184294415
Nurse Practitioner - Adult Health in Petersburg, VA

Active since June 29, 2021PECOS Enrolled
3916 S CRATER RD, PETERSBURG, VA 23805(804) 526-4300 Get Directions Write a Review

NPPES record last updated: June 30, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Chiquita Michone Thomas-jackson Np NPPES

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

CHIQUITA MICHONE THOMAS-JACKSON NP (NPI 1184294415) is an individual adult health provider in Petersburg, Virginia, licensed in Virginia (0024178799) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184294415
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameCHIQUITA MICHONE THOMAS-JACKSONCredential: NP
Location Address3916 S CRATER RDPetersburg, VA 23805-9202
Mailing Address307 S 17th AveHopewell, VA 23860-3609 · (757) 678-6682
Phone(804) 526-4300
Sole ProprietorNo
Enumeration DateJune 29, 2021
Last NPPES UpdateJune 30, 2021
NPPES CertifiedJune 30, 2021
✔ NPI 1184294415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in VA · 0024178799
3916 S CRATER RD, Petersburg, VA 23805
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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)

Chiquita Michone Thomas-jackson Np 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23805 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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

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

CRATER COMMUNITY HOSPICE INC
Hospice Care, Community Based
3916 S CRATER RD
PETERSBURG, VA 23805
Petersburg City (804) 526-4300

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 Chiquita Thomas-jackson's NPI number?

The NPI number for Chiquita Thomas-jackson is 1184294415. It was assigned to this individual provider in the NPPES registry on June 29, 2021.

Where is Chiquita Thomas-jackson located?

Chiquita Thomas-jackson practices at 3916 S Crater Rd, Petersburg, VA 23805. The listed phone number is (804) 526-4300.

What is Chiquita Thomas-jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Chiquita Thomas-jackson enrolled in Medicare?

Yes. Chiquita Thomas-jackson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Chiquita Thomas-jackson was last updated on June 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.