KRISTINA E JACKSON D.O.
NPI 1689010738
Family Medicine in Bend, OR

Active since May 16, 2013PECOS EnrolledAccepts Medicare Assignment
94.3/100
CMS Quality Rating
1501 NE MEDICAL CENTER DR, BEND, OR 97701(541) 382-2811 Get Directions Write a Review

NPPES record last updated: February 11, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 11, 2025, Jan 22, 2022, Sep 19, 2016 (3 updates tracked since 2016).

About Kristina E Jackson D.o. NPPES

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

KRISTINA E JACKSON D.O. (NPI 1689010738) is an individual family medicine provider in Bend, Oregon, licensed in Oregon (DO176817) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS, is affiliated with Benefis Hospitals Inc, and maintains a secondary practice location in Helena.

NPPES Registry Identity

NPI1689010738
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKRISTINA E JACKSONCredential: D.O.
Location Address1501 NE MEDICAL CENTER DRBend, OR 97701-6051
Mailing Address1501 Ne Medical Center DrBend, OR 97701-6051 · (541) 382-2811
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMay 16, 2013
Last NPPES UpdateFebruary 11, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 11, 2025
✔ NPI 1689010738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in OR · DO176817✔ Licensed in UT · 9176939-1204✔ Licensed in MT · 104267
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1501 NE MEDICAL CENTER DR, Bend, OR 97701

Other Names 1

Former Name (1)Kristina E Henne Do

Secondary Practice Location 1

Location 12960 N Washington StHelena, MT 59602-1210 · Phone (406) 389-2555

Other Identifiers 1

OtherDO176817OR · Or License

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kristina E Jackson D.o. 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 ID1153644299
PECOS Enrollment IDI20220901002981
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.

Medicare Billing Reassignments

7

Medicare enrollment records show Kristina Jackson reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
1501 NE MEDICAL CENTER DR
Bend, OR 97701
  • Reassigned Medicare billing, Oregon enrollment
  • 317 clinicians in this Medicare group
Family Medicine
236 YELLOWSTONE AVE
West Yellowstone, MT 59758
  • Reassigned Medicare billing, Montana enrollment
  • Medicare enrollment name: Billings Clinic
  • 1,264 clinicians in this Medicare group
Multi-Specialty
1401 25TH ST S
Great Falls, MT 59405
  • Reassigned Medicare billing, Montana enrollment
  • 637 clinicians in this Medicare group
Rural Health
55 N MONTANA AVE
Absarokee, MT 59001
  • Reassigned Medicare billing, Montana enrollment
  • 438 clinicians in this Medicare group
Family Medicine
7845 N MESA ST STE A
El Paso, TX 79932
  • Reassigned Medicare billing, Texas enrollment
  • 34 clinicians in this Medicare group
Family Medicine
5033 W HIGHWAY 290
Austin, TX 78735
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: St Davids Carenow Urgent Care PLLC
  • 106 clinicians in this Medicare group
Family Medicine
5755 NW LOOP 410
San Antonio, TX 78238
  • Reassigned Medicare billing, Texas enrollment
  • 66 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

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.
41 services38 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
36 services36 patients

Hospital Affiliations CMS Care Compare

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

Benefis Hospitals Inc

Acute Care Hospitals · Great Falls, MT
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270012
Location1101 26th St SGreat Falls, MT 59405 · Cascade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97701 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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.

94.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.58
Promoting Interoperability100
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.

Nurse Practitioner
1501 NE MEDICAL CENTER DR
BEND, OR 97701
Nurse Practitioner (Family)
1501 NE MEDICAL CENTER DR
BEND, OR 97701
Family Medicine
1501 NE MEDICAL CENTER DR
BEND, OR 97701
Nurse Practitioner (Family)
1501 NE MEDICAL CENTER DR
BEND, OR 97701
Ophthalmology
1501 NE MEDICAL CENTER DR
BEND, OR 97701
Ophthalmology
1501 NE MEDICAL CENTER DR
BEND, OR 97701
Internal Medicine
1501 NE MEDICAL CENTER DR
BEND, OR 97701
Nurse Practitioner (Family)
1501 NE MEDICAL CENTER DR
BEND, OR 97701

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 Kristina Jackson's NPI number?

The NPI number for Kristina Jackson is 1689010738. It was assigned to this individual provider in the NPPES registry on May 16, 2013. The provider is also known as Kristina E Henne Do.

Where is Kristina Jackson located?

Kristina Jackson practices at 1501 NE Medical Center Dr, Bend, OR 97701. The listed phone number is (541) 382-2811.

What is Kristina Jackson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kristina Jackson enrolled in Medicare?

Yes. Kristina 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.

Which organizations bill Medicare for Kristina Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristina Jackson reassigns Medicare benefits to 7 organizations: Bend Memorial Clinic PC (Bend, OR), Billings Cinic (West Yellowstone, MT), Benefis Hospitals Inc (Great Falls, MT), Scl Health Medical Group - Billings LLC (Absarokee, MT), El Paso Carenow Urgent Care, PLLC (El Paso, TX) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kristina Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kristina Jackson accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Texas, Moda Health Plan, Inc., Mountain Health CO-OP and PacificSource Health Plans and 1 other insurer list Kristina 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 Kristina Jackson affiliated with any hospitals?

According to CMS data, Kristina Jackson is affiliated with Benefis Hospitals Inc.

When was this NPI record last updated?

The NPPES record for Kristina Jackson was last updated on February 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.