MR. KEITH ALLEN JACKSON PA-C
NPI 1326527045
Physician Assistant - Surgical in Sacramento, CA

Q: What is Keith Jackson's NPI number?

The NPI number for Keith Jackson is 1326527045. It was assigned to this individual provider in the NPPES registry on August 13, 2018.

Q: What is Keith Jackson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Keith Jackson was last updated on October 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 August 13, 2018PECOS EnrolledAccepts Medicare Assignment

3000 Q ST FL 4, SACRAMENTO, CA 95816(916) 733-5700(916) 733-5714 Get Directions Write a Review

NPPES record last updated: October 9, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 9, 2018, Aug 13, 2018 (2 updates tracked since 2018).

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About Mr. Keith Allen Jackson Pa-c NPPES

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

MR. KEITH ALLEN JACKSON PA-C (NPI 1326527045) is an individual surgical provider in Sacramento, California, licensed in California (PA55837) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1326527045

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameMR. KEITH ALLEN JACKSONCredential: PA-C

Location Address3000 Q ST FL 4Sacramento, CA 95816-7058

Mailing Address3400 Data DrRancho Cordova, CA 95670-7956

Phone(916) 733-5700

Fax(916) 733-5714

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateAugust 13, 2018

Last NPPES UpdateOctober 9, 20182 updates tracked since enumeration

✔ NPI 1326527045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in CA · PA55837

3000 Q ST FL 4, Sacramento, CA 95816

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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 and accepts Medicare assignment

Mr. Keith Allen 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 ID8729332333

PECOS Enrollment IDI20181119001317

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 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

66 services63 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

35 services35 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

18 services18 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

15 services15 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

14 services14 patients

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.

ALEXANDER STEINER PA-C

Physician Assistant