JUSTIN JACKSON NP
NPI 1427642636
Nurse Practitioner - Family in Wytheville, VA

Active since February 28, 2021PECOS EnrolledAccepts Medicare Assignment
1375 W RIDGE RD, WYTHEVILLE, VA 24382(276) 228-8686 Get Directions Write a Review

NPPES record last updated: November 22, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 22, 2022, Feb 28, 2021 (2 updates tracked since 2021).

About Justin Jackson Np NPPES

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

JUSTIN JACKSON NP (NPI 1427642636) is an individual family provider in Wytheville, Virginia, licensed in Virginia (0024180798) and active in the NPI registry since February 2021. He is enrolled in Medicare PECOS, is affiliated with Wythe County Community Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1427642636
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJUSTIN JACKSONCredential: NP
Location Address1375 W RIDGE RDWytheville, VA 24382
Mailing Address1375 W Ridge RdWytheville, VA 24382-5011 · (276) 228-8686 · Fax (276) 228-4125
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 28, 2021
Last NPPES UpdateNovember 22, 20222 updates tracked since enumeration
NPPES CertifiedMay 10, 2022
NPI 1427642636 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 · 0024180798
1375 W RIDGE RD, Wytheville, VA 24382

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

Justin Jackson Np 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 ID9032519509
PECOS Enrollment IDI20210621002691
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wythe County Community Hospital

Acute Care Hospitals · Wytheville, VA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number490111
Location600 West Ridge RoadWytheville, VA 24382 · Wythe County
Emergency services Birthing friendly

Carilion Giles Community Hospital

Critical Access Hospitals · Pearisburg, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number491302
Location159 Hartley WayPearisburg, VA 24134 · Giles County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24382 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.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Durable Medical Equipment & Medical Supplies
1375 W RIDGE RD
WYTHEVILLE, VA 24382
Family Medicine
1375 W RIDGE RD
WYTHEVILLE, VA 24382
Nurse Practitioner (Family)
1375 W RIDGE RD
WYTHEVILLE, VA 24382
Nurse Practitioner (Family)
1375 W RIDGE RD
WYTHEVILLE, VA 24382
Clinic/Center (Rural Health)
1375 W RIDGE RD
WYTHEVILLE, VA 24382
Clinic/Center (Rural Health)
1375 W RIDGE RD
WYTHEVILLE, VA 24382
Family Medicine
1375 W RIDGE RD
WYTHEVILLE, VA 24382
Family Medicine
1375 W RIDGE RD
WYTHEVILLE, VA 24382

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 Justin Jackson's NPI number?

The NPI number for Justin Jackson is 1427642636. It was assigned to this individual provider in the NPPES registry on February 28, 2021.

Where is Justin Jackson located?

Justin Jackson practices at 1375 W Ridge Rd, Wytheville, VA 24382. The listed phone number is (276) 228-8686.

What is Justin Jackson's specialty?

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

Is Justin Jackson enrolled in Medicare?

Yes. Justin Jackson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Justin Jackson affiliated with any hospitals?

According to CMS data, Justin Jackson is affiliated with Wythe County Community Hospital and Carilion Giles Community Hospital.

When was this NPI record last updated?

The NPPES record for Justin Jackson was last updated on November 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.