1. Home
  2. Directory
  3. Connecticut
  4. New London
  5. Advanced Practice Midwife
  6. NPI Profile

KATRINA MARCIA JACKSON CNM
NPI 1548099757
Advanced Practice Midwife in New London, CT

Active since July 29, 2024PECOS EnrolledAccepts Medicare Assignment
3 SHAWS CV STE 206, NEW LONDON, CT 06320(860) 443-4148 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Katrina Marcia Jackson Cnm NPPES

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

KATRINA MARCIA JACKSON CNM (NPI 1548099757) is an individual advanced practice midwife in New London, Connecticut, licensed in Connecticut (576) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in New London, and is a graduate of Yale University School Of Medicine (2024).

NPPES Registry Identity

NPI1548099757
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameKATRINA MARCIA JACKSONCredential: CNM
Location Address3 SHAWS CV STE 206New London, CT 06320-4968
Mailing Address402 Center StWest Haven, CT 06516-4204 · (405) 464-8126
Phone(860) 443-4148
Sole ProprietorNo
Medical School CMSYale University School Of MedicineGraduated 2024
Enumeration DateJuly 29, 2024
NPPES CertifiedJuly 28, 2024
✔ NPI 1548099757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
License✔ Licensed in CT · 576
Definition
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
3 SHAWS CV STE 206, New London, CT 06320
Open in Google Maps ↗

Secondary Practice Location 1

Location 1365 Montauk AveNew London, CT 06320-4769 · Phone (860) 441-0711

Other Identifiers 1

Other576CT · Connecticut State Nurse Midwife License

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

Katrina Marcia Jackson Cnm 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 ID2769913979
PECOS Enrollment IDI20240930000265
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 06320 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

Other Providers at the Same Location NPPES

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

STEFANIE PARKS
Obstetrics & Gynecology (Obstetrics)
3 SHAWS CV STE 206
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 443-4148

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 Katrina Jackson's NPI number?

The NPI number for Katrina Jackson is 1548099757. It was assigned to this individual provider in the NPPES registry on July 29, 2024.

Where is Katrina Jackson located?

Katrina Jackson practices at 3 Shaws Cv Ste 206, New London, CT 06320. The listed phone number is (860) 443-4148.

What is Katrina Jackson's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Katrina Jackson enrolled in Medicare?

Yes. Katrina 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 Katrina Jackson was last updated on July 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.