AUTUMN A JACKSON MHS, PA-C
NPI 1689629099
Physician Assistant - Medical in Falls Church, VA
About Autumn A Jackson Mhs, Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AUTUMN A JACKSON MHS, PA-C (NPI 1689629099) is an individual medical provider in Falls Church, Virginia, licensed in Maryland (C0003077) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Autumn A Jackson Mhs, Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Areas of Expertise CMS Part B claims
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.
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.
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.
FALLS CHURCH, VA 22042
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 Autumn Jackson's NPI number?
The NPI number for Autumn Jackson is 1689629099. It was assigned to this individual provider in the NPPES registry on May 23, 2006. The provider is also known as Autumn A Mckenzie Mhs, Pa-C.
Where is Autumn Jackson located?
Autumn Jackson practices at 3300 Gallows Rd Inova Fairfax Ed, Falls Church, VA 22042. The listed phone number is (703) 776-2690.
What is Autumn Jackson's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Autumn Jackson enrolled in Medicare?
Yes. Autumn Jackson is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Autumn Jackson was last updated on July 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Autumn A Jackson, MHS, PA-C · NPI 1689629099
Medical physician in Falls Church, Virginia. Individual provider, active in the CMS NPPES registry since May 23, 2006.
## Identity
- **NPI:** 1689629099 (Entity type: Individual)
- **Enumerated:** May 23, 2006
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** C0003077 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 3300 GALLOWS RD, INOVA FAIRFAX ED, Falls Church, VA 22042-3307
- **Phone:** (703) 776-2690
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** July 11, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1689629099) · Data from the CMS NPPES public registry.