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KRISTEN ELIZABETH JACKSON FNP-C
NPI 1396461745
Nurse Practitioner - Family in Vansant, VA

Active since October 18, 2022PECOS Enrolled
2418 FLETCHERS RIDGE RD, VANSANT, VA 24656(276) 701-1390 Get Directions Write a Review

NPPES record last updated: October 18, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kristen Elizabeth Jackson Fnp-c NPPES

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

KRISTEN ELIZABETH JACKSON FNP-C (NPI 1396461745) is an individual family provider in Vansant, Virginia, licensed in Virginia (0024185074) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396461745
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKRISTEN ELIZABETH JACKSONCredential: FNP-C
Location Address2418 FLETCHERS RIDGE RDVansant, VA 24656-7554
Mailing Address2418 Fletchers Ridge RdVansant, VA 24656-7554 · (276) 701-1390
Phone(276) 701-1390
Sole ProprietorYes
Enumeration DateOctober 18, 2022
NPPES CertifiedOctober 18, 2022
✔ NPI 1396461745 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 VA · 0024185074
2418 FLETCHERS RIDGE RD, Vansant, VA 24656
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristen Elizabeth Jackson Fnp-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.

Medicare Billing Reassignment

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

Clinch Valley Physicians Associates LLC
17 mi
Rural Health
398 CLINIC RD
Cedar Bluff, VA 24609
  • Reassigned Medicare billing, Virginia enrollment
  • 52 clinicians in this Medicare group
NPI 1821339540 (276) 964-6771

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24656 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

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 Kristen Jackson's NPI number?

The NPI number for Kristen Jackson is 1396461745. It was assigned to this individual provider in the NPPES registry on October 18, 2022.

Where is Kristen Jackson located?

Kristen Jackson practices at 2418 Fletchers Ridge Rd, Vansant, VA 24656. The listed phone number is (276) 701-1390.

What is Kristen Jackson's specialty?

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

Is Kristen Jackson enrolled in Medicare?

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

Which organization bills Medicare for Kristen Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristen Jackson reassigns Medicare benefits to Clinch Valley Physicians Associates LLC (Cedar Bluff, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kristen Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kristen Jackson was last updated on October 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.