CHRISTA JACKSON APRN
NPI 1356719264
Nurse Practitioner - Family in Little Rock, AR

Q: What is Christa Jackson's NPI number?

The NPI number for Christa Jackson is 1356719264. It was assigned to this individual provider in the NPPES registry on September 9, 2015.

Q: What is Christa Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Christa Jackson was last updated on September 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 September 09, 2015PECOS EnrolledAccepts Medicare Assignment

1 LILE CT STE 200, LITTLE ROCK, AR 72205(501) 224-5500(501) 224-1166 Get Directions Write a Review

NPPES record last updated: September 9, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Christa Jackson Aprn NPPES

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

CHRISTA JACKSON APRN (NPI 1356719264) is an individual family provider in Little Rock, Arkansas, licensed in Arkansas (A004503) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1356719264

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameCHRISTA JACKSONCredential: APRN

Location Address1 LILE CT STE 200Little Rock, AR 72205-6240

Mailing Address1 Lile Ct Ste 200Little Rock, AR 72205-6240 · (501) 224-5500 · Fax (501) 224-1166

Phone(501) 224-5500

Fax(501) 224-1166

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateSeptember 9, 2015

✔ NPI 1356719264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LF0000X

License✔ Licensed in AR · A004503

1 LILE CT STE 200, Little Rock, AR 72205

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Other Identifiers 1

OtherA004503AR · Arkansas State Board Of Nursing

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Christa Jackson Aprn 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 ID3274836929

PECOS Enrollment IDI20160129001298

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.

Medicare Billing Reassignment

Medicare enrollment records show Christa Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Beyond Wellness LLC

31 mi

Family Medicine

25255 HIGHWAY 5 STE J
Lonsdale, AR 72087

Reassigned Medicare billing, Arkansas enrollment
3 clinicians in this Medicare group

NPI 1962101402 (501) 476-7171

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.

84 services26 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.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72205 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

$79.72 typical visit price

range $51.36 – $157.74

Typical copayment $19.93 (range $12.84 – $39.43)

Most-billed visit code 99203

Established Patient

$91.63 typical visit price

range $16.16 – $128.77

Typical copayment $22.90 (range $4.04 – $32.19)

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.

ABIGAIL CAMPBELL LAC

Counselor