MS. KINA LADAWN JACKSON AGNP
NPI 1649717232
Nurse Practitioner in Salisbury, NC

Active since January 21, 2017PECOS Enrolled
1904 JAKE ALEXANDER BLVD W STE 301, SALISBURY, NC 28147(336) 718-7500 Get Directions Write a Review

NPPES record last updated: November 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 8, 2023, Jan 9, 2023, Aug 13, 2020 and 2 more (5 updates tracked since 2017).

About Ms. Kina Ladawn Jackson Agnp NPPES

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

MS. KINA LADAWN JACKSON AGNP (NPI 1649717232) is an individual nurse practitioner in Salisbury, North Carolina, licensed in North Carolina (5009255) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1649717232
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. KINA LADAWN JACKSONCredential: AGNP
Location Address1904 JAKE ALEXANDER BLVD W STE 301Salisbury, NC 28147-1177
Mailing AddressPo Box 60447Charlotte, NC 28260-0447
Sole ProprietorNo
Enumeration DateJanuary 21, 2017
Last NPPES UpdateNovember 8, 20235 updates tracked since enumeration
NPPES CertifiedNovember 8, 2023
NPI 1649717232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in NC · 5009255
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.
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 208785 (NC)
1904 JAKE ALEXANDER BLVD W STE 301, Salisbury, NC 28147

Secondary Practice Locations 3

Location 11601 Brenner AveSalisbury, NC 28144-2515 · Phone (704) 638-9000
Location 24610 Country Club RdWinston Salem, NC 27104-3520 · Phone (336) 716-2255
Location 31400 Westgate Center Dr Ste 130Winston Salem, NC 27103-3104 · Phone (336) 718-7500

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 (PECOS)

Ms. Kina Ladawn Jackson Agnp 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 28147 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 9

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

Emergency Medicine
1904 JAKE ALEXANDER BLVD W STE 301
SALISBURY, NC 28147
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1904 JAKE ALEXANDER BLVD W STE 301
SALISBURY, NC 28147
Family Medicine
1904 JAKE ALEXANDER BLVD W STE 301
SALISBURY, NC 28147
Family Medicine
1904 JAKE ALEXANDER BLVD W STE 301
SALISBURY, NC 28147
Nurse Practitioner
1904 JAKE ALEXANDER BLVD W STE 301
SALISBURY, NC 28147
Nurse Practitioner
1904 JAKE ALEXANDER BLVD W STE 301
SALISBURY, NC 28147
Emergency Medicine
1904 JAKE ALEXANDER BLVD W STE 301
SALISBURY, NC 28147
Nurse Practitioner
1904 JAKE ALEXANDER BLVD W STE 301
SALISBURY, NC 28147

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 Kina Jackson's NPI number?

The NPI number for Kina Jackson is 1649717232. It was assigned to this individual provider in the NPPES registry on January 21, 2017.

Where is Kina Jackson located?

Kina Jackson practices at 1904 Jake Alexander Blvd W Ste 301, Salisbury, NC 28147. The listed phone number is (336) 718-7500.

What is Kina Jackson's specialty?

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

Is Kina Jackson enrolled in Medicare?

Yes. Kina Jackson is registered in the Medicare PECOS enrollment system.

What insurance does Kina Jackson accept?

Health plans from AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC list Kina 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.

When was this NPI record last updated?

The NPPES record for Kina Jackson was last updated on November 8, 2023. 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.