JACQUELINE A JACKSON CFNP
NPI 1578504569
Nurse Practitioner - Family in Huntington, WV

Q: What is Jacqueline Jackson's NPI number?

The NPI number for Jacqueline Jackson is 1578504569. It was assigned to this individual provider in the NPPES registry on June 9, 2006. The provider is also known as Jacqueline A Faucette Cfnp.

Q: What is Jacqueline Jackson's specialty?

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

Active since June 09, 2006PECOS Enrolled

5170 US RT 60 EAST, HUNTINGTON, WV 25705(304) 697-6000(304) 399-2280 Get Directions Write a Review

NPPES record last updated: October 25, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jacqueline A Jackson Cfnp NPPES

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

JACQUELINE A JACKSON CFNP (NPI 1578504569) is an individual family provider in Huntington, West Virginia, licensed in West Virginia (34192) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578504569

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJACQUELINE A JACKSONCredential: CFNP

Location Address5170 US RT 60 EASTHuntington, WV 25705

Mailing Address5170 Us Rt 60 EastHuntington, WV 25705 · (304) 697-6000 · Fax (304) 399-2280

Phone(304) 697-6000

Fax(304) 399-2280

Sole ProprietorNo

Enumeration DateJune 9, 2006

Last NPPES UpdateOctober 25, 2021

NPPES CertifiedOctober 25, 2021

✔ NPI 1578504569 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 WV · 34192

5170 US RT 60 EAST, Huntington, WV 25705

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Other Names 1

Former Name (1)Jacqueline A Faucette Cfnp

Other Identifiers 3

Other500018128Railroad

Medicaid2233158OH

Medicaid7102107000WV

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline A Jackson Cfnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 25705 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

$83.49 typical visit price

range $53.20 – $164.59

Typical copayment $20.87 (range $13.30 – $41.14)

Most-billed visit code 99203

Established Patient

$94.81 typical visit price

range $16.47 – $133.29

Typical copayment $23.70 (range $4.11 – $33.32)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

68%99 patients3/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers37 claims37 services$15.57 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers37 claims37 services$77.51 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

HELGI K SIGMUNDSSON MD

Internal Medicine (Gastroenterology)