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DR. KATHY JO JACKSON M.D.
NPI 1306914296
Pediatrics in Kalamazoo, MI

Active since December 01, 2006PECOS Enrolled
117 W PATERSON ST, KALAMAZOO, MI 49007(269) 349-2641(269) 349-2898 Get Directions Write a Review

NPPES record last updated: December 27, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kathy Jo Jackson M.d. NPPES

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

DR. KATHY JO JACKSON M.D. (NPI 1306914296) is an individual pediatrics provider in Kalamazoo, Michigan, licensed in Michigan (070748) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Kalamazoo.

NPPES Registry Identity

NPI1306914296
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. KATHY JO JACKSONCredential: M.D.
Location Address117 W PATERSON STKalamazoo, MI 49007-2557
Mailing Address1003 Pinehurst BlvdKalamazoo, MI 49006-2110 · (269) 349-2641 · Fax (269) 349-2898
Phone(269) 349-2641
Fax(269) 349-2898
Sole ProprietorNo
Enumeration DateDecember 1, 2006
Last NPPES UpdateDecember 27, 2022
NPPES CertifiedDecember 27, 2022
✔ NPI 1306914296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MI · 070748
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

117 W PATERSON ST, Kalamazoo, MI 49007
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Secondary Practice Location 1

Location 1505 E Alcott StKalamazoo, MI 49001-6144 · Phone (269) 349-2641

Other Identifiers 1

Medicaid104509048MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include McLaren Health Plan Community, Priority Health, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kathy Jo Jackson M.d. 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 49007 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $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.

SUSAN MARIE PEREZ NP
Nurse Practitioner (Pediatrics)
117 W PATERSON ST
KALAMAZOO, MI 49007
Kalamazoo County (269) 349-2641
KATIE MAE MANUEL LMSW
Social Worker (Clinical)
117 W PATERSON ST
KALAMAZOO, MI 49007
Kalamazoo County (269) 349-2641
DANIEL HODGE NP
Nurse Practitioner (Primary Care)
117 W PATERSON ST
KALAMAZOO, MI 49007
Kalamazoo County (269) 349-2641
ALLISON L GILCHRIST CHW
Community Health Worker
117 W PATERSON ST
KALAMAZOO, MI 49007
Kalamazoo County (269) 349-2641
KRISTIN MARIE TABIADON LMSW, CAADC
Social Worker (Clinical)
117 W PATERSON ST
KALAMAZOO, MI 49007
Kalamazoo County (269) 349-2641
MRS. MICHELLE ELIZABETH RICHARDSON CPHT
Pharmacy Technician
117 W PATERSON ST
KALAMAZOO, MI 49007
Kalamazoo County (269) 488-0835
MRS. AMANDA LAURA BERGAN FNP
Nurse Practitioner (Family)
117 W PATERSON ST
KALAMAZOO, MI 49007
Kalamazoo County (269) 349-2641
MINDIE ADELE SMITH LPC
Counselor (Professional)
117 W PATERSON ST
KALAMAZOO, MI 49007
Kalamazoo County (269) 349-2641

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 Kathy Jackson's NPI number?

The NPI number for Kathy Jackson is 1306914296. It was assigned to this individual provider in the NPPES registry on December 1, 2006.

Where is Kathy Jackson located?

Kathy Jackson practices at 117 W Paterson St, Kalamazoo, MI 49007. The listed phone number is (269) 349-2641.

What is Kathy Jackson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kathy Jackson enrolled in Medicare?

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

What insurance does Kathy Jackson accept?

Health plans from McLaren Health Plan Community, Priority Health and UnitedHealthcare list Kathy 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.

When was this NPI record last updated?

The NPPES record for Kathy Jackson was last updated on December 27, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.