KATRINA MARGARET JACKSON CNP
NPI 1588979306
Nurse Practitioner in Maplewood, MN

Active since August 17, 2010PECOS EnrolledAccepts Medicare Assignment
90.75/100
CMS Quality Rating
1580 BEAM AVE, MAPLEWOOD, MN 55109(651) 779-7978(651) 779-7656 Get Directions Write a Review

NPPES record last updated: November 21, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Katrina Margaret Jackson Cnp NPPES

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

KATRINA MARGARET JACKSON CNP (NPI 1588979306) is an individual nurse practitioner in Maplewood, Minnesota, licensed in Minnesota (2397795) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS, is affiliated with Allina United Hospital, and is a graduate of University Of Cincinnati College Of Medicine (2010).

NPPES Registry Identity

NPI1588979306
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKATRINA MARGARET JACKSONCredential: CNP
Location Address1580 BEAM AVEMaplewood, MN 55109-1127
Mailing Address2550 University Ave W Ste 110nSaint Paul, MN 55114-2001 · (651) 602-5309 · Fax (651) 222-6786
Fax(651) 779-7656
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2010
Enumeration DateAugust 17, 2010
Last NPPES UpdateNovember 21, 2017
NPI 1588979306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses Licensed in MN · 2397795 Licensed in MI · 4704285871 Licensed in OH · 11676
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1580 BEAM AVE, Maplewood, MN 55109

Other Names 1

Former Name (1)Katrina Margaret Cirilli

Other Identifiers 5

Medicare PINNP36761OH
Medicare PIN0P32180062MI
Medicaid7100132960KY
Medicaid201010130IN
Medicaid3080713OH

Accepted 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

Katrina Margaret Jackson Cnp 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 ID4284759523
PECOS Enrollment IDI20161114000848, I20240516000341
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 22

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.

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
338 services166 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
311 services163 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
213 services113 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
203 services153 patients
Gammaglobulin (immune system protein) measurement 82784
Gammaglobulin measurement is a blood test that checks the levels of certain proteins (gammaglobulins) that the body uses to fight infections. High or low levels can indicate various health conditions. It's a simple, quick procedure with minimal discomfort.
111 services21 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
92 services72 patients

Hospital Affiliations CMS Care Compare 2

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

Allina United Hospital

Acute Care Hospitals · Saint Paul, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240038
Location333 North Smith AvenueSaint Paul, MN 55102 · Ramsey County
Emergency services Birthing friendly

M Health Fairview St John's Hospital

Acute Care Hospitals · Maplewood, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240210
Location1575 Beam AvenueMaplewood, MN 55109 · Ramsey County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55109 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

90.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.64
Promoting Interoperability99
Improvement Activities40

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.

Internal Medicine (Hematology & Oncology)
1580 BEAM AVE
MAPLEWOOD, MN 55109
Physician Assistant
1580 BEAM AVE
MAPLEWOOD, MN 55109
Pharmacy (Clinic Pharmacy)
1580 BEAM AVE
MAPLEWOOD, MN 55109
Radiology (Radiation Oncology)
1580 BEAM AVE
MAPLEWOOD, MN 55109
Internal Medicine (Hematology & Oncology)
1580 BEAM AVE
MAPLEWOOD, MN 55109
Pharmacist (Oncology)
1580 BEAM AVE
MAPLEWOOD, MN 55109
Internal Medicine (Hematology & Oncology)
1580 BEAM AVE
MAPLEWOOD, MN 55109
Radiology (Radiation Oncology)
1580 BEAM AVE
MAPLEWOOD, MN 55109

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 1588979306. It was assigned to this individual provider in the NPPES registry on August 17, 2010. The provider is also known as Katrina Margaret Cirilli.

Where is Katrina Jackson located?

Katrina Jackson practices at 1580 Beam Ave, Maplewood, MN 55109. The listed phone number is (651) 779-7978.

What is Katrina Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

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.

What insurance does Katrina Jackson accept?

Health plans from HealthPartners and Medica list Katrina 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 Katrina Jackson affiliated with any hospitals?

According to CMS data, Katrina Jackson is affiliated with Allina United Hospital and M Health Fairview St John's Hospital.

When was this NPI record last updated?

The NPPES record for Katrina Jackson was last updated on November 21, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.