JUSTIN JACKSON NP
NPI 1427642636
Nurse Practitioner - Family in Wytheville, VA
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 Carilion New River Valley Medical Center, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Justin Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Wytheville, VA 24382
- Reassigned Medicare billing, Virginia enrollment
- 608 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Carilion New River Valley Medical Center
Acute Care Hospitals · Christiansburg, VAWythe County Community Hospital
Acute Care Hospitals · Wytheville, VACarilion Giles Community Hospital
Critical Access Hospitals · Pearisburg, VAPhysician 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.
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.
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.
Which organization bills Medicare for Justin Jackson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Justin Jackson reassigns Medicare benefits to Carilion Giles Community Hospital (Wytheville, 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 Justin Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Justin Jackson affiliated with any hospitals?
According to CMS data, Justin Jackson is affiliated with Carilion New River Valley Medical Center, 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.
# Justin Jackson, NP · NPI 1427642636
Family physician in Wytheville, Virginia. Individual provider, active in the CMS NPPES registry since February 28, 2021.
## Identity
- **NPI:** 1427642636 (Entity type: Individual)
- **Enumerated:** February 28, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 0024180798 (Virginia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1375 W RIDGE RD, Wytheville, VA 24382
- **Phone:** (276) 228-8686
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Carilion Giles Community Hospital (NPI 1699393736, Wytheville, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** November 22, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1427642636) · Data from the CMS NPPES public registry.