NICOLE KIMBERLY JACKSON DO
NPI 1508188343
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Olympia, WA

Q: What is Nicole Jackson's NPI number?

The NPI number for Nicole Jackson is 1508188343. It was assigned to this individual provider in the NPPES registry on February 21, 2010.

Q: What is Nicole Jackson's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Jackson was last updated on June 12, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 21, 2010PECOS EnrolledAccepts Medicare Assignment

525 LILLY RD NE STE 200, OLYMPIA, WA 98506(360) 493-4510(360) 493-7759 Get Directions Write a Review

NPPES record last updated: June 12, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Nicole Kimberly Jackson Do NPPES

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

NICOLE KIMBERLY JACKSON DO (NPI 1508188343) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Olympia, Washington, licensed in Washington (OP60418108) and active in the NPI registry since February 2010. She is enrolled in Medicare PECOS, is affiliated with St Joseph Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1508188343

Entity TypeIndividualFemale

Primary Taxonomy208G00000X

Provider Legal NameNICOLE KIMBERLY JACKSONCredential: DO

Location Address525 LILLY RD NE STE 200Olympia, WA 98506

Mailing AddressPo Box 3360Portland, OR 97208-3360

Phone(360) 493-4510

Fax(360) 493-7759

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateFebruary 21, 2010

Last NPPES UpdateJune 12, 2018

✔ NPI 1508188343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians

Taxonomy Code208G00000X

License✔ Licensed in WA · OP60418108

Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

525 LILLY RD NE STE 200, Olympia, WA 98506

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Other Identifiers 1

MedicaidOL60099734WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

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

Nicole Kimberly Jackson Do 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 ID3173811890

PECOS Enrollment IDI20161013000485

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.

Areas of Expertise CMS Part B claims 7

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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

56 services56 patients

Replacement of aortic valve through the skin and femoral artery 33361

This procedure, known as Transcatheter Aortic Valve Replacement (TAVR), involves replacing a damaged aortic valve through a small incision in the leg. A catheter is inserted into the femoral artery and guided up to the heart. The new valve is then positioned and deployed, restoring normal blood flow.

15 services15 patients

Coronary artery bypass using artery graft, 1 graft 33533

A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.

15 services15 patients

Initial removal of wedge of lung tissue using an endoscope 32666

This procedure involves the use of an endoscope, a thin tube with a light and camera, to view and remove a small wedge of lung tissue. It's performed to diagnose or treat lung conditions. The process is minimally invasive, reducing recovery time.

14 services14 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

13 services13 patients

Removal of lymph nodes of chest cavity using an endoscope 32674

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to access and remove lymph nodes in the chest cavity. It's a minimally invasive method, which can help in diagnosing or treating certain conditions.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

St Joseph Hospital

Acute Care Hospitals · Bellingham, WA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number500030

Location2901 Squalicum ParkwayBellingham, WA 98225 · Whatcom County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98506 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

$172.80 typical visit price

range $57.27 – $172.80

Typical copayment $43.20 (range $14.31 – $43.20)

Most-billed visit code 99205

Established Patient

$71.29 typical visit price

range $18.56 – $141.11

Typical copayment $17.82 (range $4.64 – $35.27)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 7

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

KELLY CURTIS

Physician Assistant