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KERITA JACKSON FNP
NPI 1497405443
Nurse Practitioner - Family in Jamaica, NY

Active since March 24, 2022PECOS EnrolledAccepts Medicare Assignment
97-04 SUTPHIN BOULEVARD, JAMAICA, NY 11435(718) 657-7088(718) 657-7092 Get Directions Write a Review

NPPES record last updated: March 24, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Kerita Jackson Fnp NPPES

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

KERITA JACKSON FNP (NPI 1497405443) is an individual family provider in Jamaica, New York, licensed in New York (F349347) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1497405443
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKERITA JACKSONCredential: FNP
Location Address97-04 SUTPHIN BOULEVARDJamaica, NY 11435-4721
Mailing Address60 Madison Avenue, 5th FloorNew York, NY 10010-1600 · (212) 545-2400 · Fax (646) 312-0481
Phone(718) 657-7088
Fax(718) 657-7092
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 24, 2022
NPPES CertifiedMarch 24, 2022
✔ NPI 1497405443 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 NY · F349347
97-04 SUTPHIN BOULEVARD, Jamaica, NY 11435
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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

Kerita Jackson Fnp 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 ID143617415
PECOS Enrollment IDI20220505000842
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11435 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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

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

ISABELLA HEROLD RD
Dietitian, Registered
97-04 SUTPHIN BOULEVARD
JAMAICA, NY 11435
Queens County (718) 657-7088

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 Kerita Jackson's NPI number?

The NPI number for Kerita Jackson is 1497405443. It was assigned to this individual provider in the NPPES registry on March 24, 2022.

Where is Kerita Jackson located?

Kerita Jackson practices at 97-04 Sutphin Boulevard, Jamaica, NY 11435. The listed phone number is (718) 657-7088.

What is Kerita Jackson's specialty?

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

Is Kerita Jackson enrolled in Medicare?

Yes. Kerita 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.

When was this NPI record last updated?

The NPPES record for Kerita Jackson was last updated on March 24, 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.