KATIE ELIZABETH JACKSON PA-C
NPI 1194077156
Physician Assistant in Eldorado, IL

Active since October 15, 2012PECOS EnrolledAccepts Medicare Assignment
1306 MAPLE STREET, FERRELL HOSPITAL FAMILY PRACTICE, ELDORADO, IL 62930(618) 273-3361 Get Directions Write a Review

NPPES record last updated: December 3, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Katie Elizabeth Jackson Pa-c NPPES

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

KATIE ELIZABETH JACKSON PA-C (NPI 1194077156) is an individual physician assistant in Eldorado, Illinois, licensed in Illinois (085004431) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS, is affiliated with Ferrell Hospital Community Foundations, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1194077156
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKATIE ELIZABETH JACKSONCredential: PA-C
Location Address1306 MAPLE STREET, FERRELL HOSPITAL FAMILY PRACTICEEldorado, IL 62930-1666
Mailing Address1306 Maple Street, Ferrell Hospital Family PracticeEldorado, IL 62930-1666 · (618) 273-3361
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateOctober 15, 2012
Last NPPES UpdateDecember 3, 2013
NPI 1194077156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in IL · 085004431
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1306 MAPLE STREET, Eldorado, IL 62930

Accepted Insurance

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

Katie Elizabeth Jackson Pa-c 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 ID9032358551
PECOS Enrollment IDI20130613000292
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ferrell Hospital Community Foundations

Critical Access Hospitals · Eldorado, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141324
Location1201 Pine StreetEldorado, IL 62930 · Saline County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62930 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers20 claims39 services$6.42 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers58 claims58 services$112.87 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers18 claims18 services$36.17 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
5 suppliers20 claims3,394 services$0.03 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
1 supplier12 claims720 services$0.08 avg. paid by Medicare
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram J7644
DME-Drugs Administered Through DME · category DG006N
2 suppliers11 claims430 services$0.16 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

Licensed Practical Nurse
1306 MAPLE STREET, DOCTORS CLINIC
ELDORADO, IL 62930

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 Katie Jackson's NPI number?

The NPI number for Katie Jackson is 1194077156. It was assigned to this individual provider in the NPPES registry on October 15, 2012.

Where is Katie Jackson located?

Katie Jackson practices at 1306 Maple Street Ferrell Hospital Family Practice, Eldorado, IL 62930. The listed phone number is (618) 273-3361.

What is Katie Jackson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Katie Jackson enrolled in Medicare?

Yes. Katie 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.

What insurance does Katie Jackson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Katie Jackson 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.

Is Katie Jackson affiliated with any hospitals?

According to CMS data, Katie Jackson is affiliated with Ferrell Hospital Community Foundations.

When was this NPI record last updated?

The NPPES record for Katie Jackson was last updated on December 3, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.