JACKSON KORGER
NPI 1659012672
Student in an Organized Health Care Education/Training Program in Madison, WI

Q: What is Jackson Korger's NPI number?

The NPI number for Jackson Korger is 1659012672. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Q: What is Jackson Korger's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Jackson Korger was last updated on April 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 April 05, 2022PECOS Enrolled

749 UNIVERSITY ROW STE 200, MADISON, WI 53705(608) 263-6400 Get Directions Write a Review

NPPES record last updated: April 5, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jackson Korger NPPES

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

JACKSON KORGER (NPI 1659012672) is an individual student in an organized health care education/training program in Madison, Wisconsin and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of University Of Wisconsin School Of Medicine (2022).

NPPES Registry Identity

NPI1659012672

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJACKSON KORGER

Location Address749 UNIVERSITY ROW STE 200Madison, WI 53705-1465

Mailing Address749 University Row Ste 200Madison, WI 53705-1465 · (608) 263-6400

Phone(608) 263-6400

Sole ProprietorNo

Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2022

Enumeration DateApril 5, 2022

NPPES CertifiedApril 4, 2022

✔ NPI 1659012672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

749 UNIVERSITY ROW STE 200, Madison, WI 53705

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID9931589926

PECOS Enrollment IDI20260304000948

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.

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.

DR. LEAH MERRELL GOBER MD

Student in an Organized Health Care Education/Training Program