CATHERINE ALISA JACKSON
NPI 1215612031
Nurse Practitioner - Gerontology in Kettering, OH

Q: What is Catherine Jackson's NPI number?

The NPI number for Catherine Jackson is 1215612031. It was assigned to this individual provider in the NPPES registry on June 19, 2023.

Q: What is Catherine Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Catherine Jackson was last updated on January 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 19, 2023PECOS EnrolledAccepts Medicare Assignment

3535 SOUTHERN BLVD, KETTERING, OH 45429(937) 298-4331 Get Directions Write a Review

NPPES record last updated: January 25, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Catherine Alisa Jackson NPPES

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

CATHERINE ALISA JACKSON (NPI 1215612031) is an individual gerontology provider in Kettering, Ohio, licensed in Ohio (APRN.CNP.0034084) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1215612031

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameCATHERINE ALISA JACKSON

Location Address3535 SOUTHERN BLVDKettering, OH 45429-1221

Mailing Address3535 Southern BlvdKettering, OH 45429-1221 · (937) 298-4331

Phone(937) 298-4331

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateJune 19, 2023

Last NPPES UpdateJanuary 25, 2024

NPPES CertifiedJanuary 25, 2024

✔ NPI 1215612031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in OH · APRN.CNP.0034084

3535 SOUTHERN BLVD, Kettering, OH 45429

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Catherine Alisa Jackson 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 ID3577917459

PECOS Enrollment IDI20230926003237

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

14 services11 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360051

LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45429 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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 20

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

RAGHEED KATKHUDA MD

Pediatrics (Neonatal-Perinatal Medicine)

3535 SOUTHERN BLVD
KETTERING, OH 45429

Montgomery County (937) 752-2304

ANNEMARIE ROSE UNDERWOOD PA-C

Physician Assistant

3535 SOUTHERN BLVD
DAYTON, OH 45429

Montgomery County (937) 395-8166

SYLVIA POLENAKOVIK M.D.

Internal Medicine

3535 SOUTHERN BLVD
DAYTON, OH 45429

Montgomery County (937) 395-6665

SUSAN KAY ZANN RNFS

Registered Nurse (Registered Nurse First Assistant)

3535 SOUTHERN BLVD
KETTERING, OH 45429

Montgomery County (937) 395-8608

SWATHI DATLA M.B.B.S.

Hospitalist

3535 SOUTHERN BLVD
KETTERING, OH 45429

Montgomery County (937) 395-6665

DR. LOREN ANN NALLU MD

Pediatrics (Neonatal-Perinatal Medicine)

3535 SOUTHERN BLVD
KETTERING, OH 45429

Montgomery County (937) 752-2304

DR. JEREMY LAWTON CHAPMAN D.O.

Hospitalist

3535 SOUTHERN BLVD
KETTERING, OH 45429

Montgomery County (937) 395-6665

DR. RAHUL RAO DO

Radiology (Diagnostic Radiology)

3535 SOUTHERN BLVD
DAYTON, OH 45429

Montgomery County (937) 395-8627

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 Catherine Jackson's NPI number?

The NPI number for Catherine Jackson is 1215612031. It was assigned to this individual provider in the NPPES registry on June 19, 2023.

Where is Catherine Jackson located?

Catherine Jackson practices at 3535 Southern Blvd, Kettering, OH 45429. The listed phone number is (937) 298-4331.

What is Catherine Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Catherine Jackson enrolled in Medicare?

Yes. Catherine 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 Catherine Jackson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Molina Healthcare and 1 other insurer list Catherine 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 Catherine Jackson affiliated with any hospitals?

According to CMS data, Catherine Jackson is affiliated with Miami Valley Hospital.

When was this NPI record last updated?

The NPPES record for Catherine Jackson was last updated on January 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.