JOHN T JACKSON PA-C
NPI 1295792687
Physician Assistant - Medical in Newport, RI

Active since April 28, 2006PECOS Enrolled
97.91/100
CMS Quality Rating
11 FRIENDSHIP ST, NEWPORT, RI 02840(401) 845-1593(401) 847-0650 Get Directions Write a Review

NPPES record last updated: April 10, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About John T Jackson Pa-c NPPES

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

JOHN T JACKSON PA-C (NPI 1295792687) is an individual medical provider in Newport, Rhode Island, licensed in Rhode Island (PA00132) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295792687
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameJOHN T JACKSONCredential: PA-C
Location Address11 FRIENDSHIP STNewport, RI 02840-2271
Mailing Address11 Friendship StNewport, RI 02840-2271 · (401) 845-1593 · Fax (401) 847-0650
Fax(401) 847-0650
Sole ProprietorNo
Enumeration DateApril 28, 2006
Last NPPES UpdateApril 10, 2009
NPI 1295792687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in RI · PA00132
11 FRIENDSHIP ST, Newport, RI 02840

Other Identifiers 3

Medicare UPINR77862RI
Medicaid7006480RI
Medicare ID-Type Unspecified007003719RI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

John T Jackson Pa-c 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.

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.

Emergency department visit for problem of moderate severity 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
22 services22 patients
Emergency department visit for problem of high severity 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
11 services11 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.91/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.97
Promoting Interoperability100
Improvement Activities40

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.

Physical Medicine & Rehabilitation
11 FRIENDSHIP ST, TURNER 1
NEWPORT, RI 02840
Internal Medicine
11 FRIENDSHIP ST
NEWPORT, RI 02840
Emergency Medicine
11 FRIENDSHIP ST
NEWPORT, RI 02840
Emergency Medicine
11 FRIENDSHIP ST
NEWPORT, RI 02840
Anesthesiology
11 FRIENDSHIP ST
NEWPORT, RI 02840
Radiology (Diagnostic Radiology)
11 FRIENDSHIP ST, DEPARTMENT OF DIAGNOSTIC IMAGING
NEWPORT, RI 02840
Psychiatry & Neurology (Psychiatry)
11 FRIENDSHIP ST
NEWPORT, RI 02840
Speech-Language Pathologist
11 FRIENDSHIP ST
NEWPORT, RI 02840

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295792687, enumerated as an "individual" on April 28, 2006.

The provider is located at 11 FRIENDSHIP ST NEWPORT, RI 02840 and the phone number is (401) 845-1593.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.