BOBBIE JACKSON MSN, APRN, AGACNP-BC
NPI 1568055481
Nurse Practitioner - Acute Care in Roanoke, VA

Q: What is Bobbie Jackson's NPI number?

The NPI number for Bobbie Jackson is 1568055481. It was assigned to this individual provider in the NPPES registry on February 12, 2021.

Q: What is Bobbie Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Bobbie Jackson was last updated on June 21, 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.

Active since February 12, 2021PECOS EnrolledAccepts Medicare Assignment

2001 CRYSTAL SPRING AVE SW, ROANOKE, VA 24014(540) 853-0100(540) 342-9308 Get Directions Write a Review

NPPES record last updated: June 21, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 21, 2024, Dec 6, 2023, Feb 12, 2021 (3 updates tracked since 2021).

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About Bobbie Jackson Msn, Aprn, Agacnp-bc NPPES

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

BOBBIE JACKSON MSN, APRN, AGACNP-BC (NPI 1568055481) is an individual acute care provider in Roanoke, Virginia, licensed in Virginia (0024190222) and active in the NPI registry since February 2021. He is enrolled in Medicare PECOS, is affiliated with Methodist Dallas Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1568055481

Entity TypeIndividualMale

Primary Taxonomy363LA2100X

Provider Legal NameBOBBIE JACKSONCredential: MSN, APRN, AGACNP-BC

Location Address2001 CRYSTAL SPRING AVE SWRoanoke, VA 24014-2462

Mailing Address213 S Jefferson St Ste 1006Roanoke, VA 24011-1713 · (540) 224-5705

Phone(540) 853-0100

Fax(540) 342-9308

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateFebruary 12, 2021

Last NPPES UpdateJune 21, 20243 updates tracked since enumeration

NPPES CertifiedJune 21, 2024

✔ NPI 1568055481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

Licenses✔ Licensed in VA · 0024190222✔ Licensed in TX · 1029618

2001 CRYSTAL SPRING AVE SW, Roanoke, VA 24014

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., WellPoint.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

Bobbie Jackson Msn, Aprn, Agacnp-bc 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 ID4587072954

PECOS Enrollment IDI20210423000920

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

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

Methodist Dallas Medical Center

Acute Care Hospitals · Dallas, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number450051

Location1441 North Beckley AvenueDallas, TX 75203 · Dallas County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24014 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 20

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

JESSICA HALLAM RN

Nurse Practitioner (Family)

2001 CRYSTAL SPRING AVE SW
ROANOKE, VA 24014

Roanoke City (540) 982-8201

JULIE ANNE SNYDER AMOROSO

Nurse Practitioner (Family)

2001 CRYSTAL SPRING AVE SW
ROANOKE, VA 24014

Roanoke City (540) 985-8505

JOSEPH W BAKER MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

2001 CRYSTAL SPRING AVE SW
ROANOKE, VA 24014

Roanoke City (540) 344-5781

JEAN A SMITH M.D.

Internal Medicine (Infectious Disease)

2001 CRYSTAL SPRING AVE SW, SUITE 301
ROANOKE, VA 24014

Roanoke City (540) 981-7715

MRS. CARMEN HELENE SALMON PA-C

Physician Assistant

2001 CRYSTAL SPRING AVE SW, SUITE 201
ROANOKE, VA 24014

Roanoke City (540) 853-0100

MRS. LILIANE LILY BALBACH MS, RDN

Dietitian, Registered

2001 CRYSTAL SPRING AVE SW
ROANOKE, VA 24014

Roanoke City (540) 981-7715

ROANOKE VALLEY CARDIOLOGY ASSOCIATES

Specialist

2001 CRYSTAL SPRING AVE SW
ROANOKE, VA 24014

Roanoke City (540) 342-7941

KEVIN GLEIM

Physician Assistant (Medical)

2001 CRYSTAL SPRING AVE SW
ROANOKE, VA 24014

Roanoke City (540) 981-7000

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 Bobbie Jackson's NPI number?

The NPI number for Bobbie Jackson is 1568055481. It was assigned to this individual provider in the NPPES registry on February 12, 2021.

Where is Bobbie Jackson located?

Bobbie Jackson practices at 2001 Crystal Spring Ave SW, Roanoke, VA 24014. The listed phone number is (540) 853-0100.

What is Bobbie Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Bobbie Jackson enrolled in Medicare?

Yes. Bobbie 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.

What insurance does Bobbie Jackson accept?

Health plans from Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc. and WellPoint list Bobbie Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Bobbie Jackson affiliated with any hospitals?

According to CMS data, Bobbie Jackson is affiliated with Methodist Dallas Medical Center.

When was this NPI record last updated?

The NPPES record for Bobbie Jackson was last updated on June 21, 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.