KIMBERLY ANN JACKSON N.P.
NPI 1699001289
Nurse Practitioner in Mount Vernon, IN

Q: What is Kimberly Jackson's NPI number?

The NPI number for Kimberly Jackson is 1699001289. It was assigned to this individual provider in the NPPES registry on November 2, 2009.

Q: What is Kimberly Jackson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kimberly Jackson was last updated on January 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 November 02, 2009PECOS Enrolled

813 E 4TH ST, STE A, MOUNT VERNON, IN 47620(812) 838-2139(812) 838-9214 Get Directions Write a Review

NPPES record last updated: January 3, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Kimberly Ann Jackson N.p. NPPES

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

KIMBERLY ANN JACKSON N.P. (NPI 1699001289) is an individual nurse practitioner in Mount Vernon, Indiana, licensed in Indiana (71003090A) and active in the NPI registry since November 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699001289

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKIMBERLY ANN JACKSONCredential: N.P.

Location Address813 E 4TH ST, STE AMount Vernon, IN 47620-2012

Mailing AddressPo Box 1510Evansville, IN 47706-1510 · (812) 838-2139 · Fax (812) 838-9214

Phone(812) 838-2139

Fax(812) 838-9214

Sole ProprietorNo

Enumeration DateNovember 2, 2009

Last NPPES UpdateJanuary 3, 2013

✔ NPI 1699001289 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 IN · 71003090A

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 · FamilyTaxonomy 363LF0000X · License 71003090A (IN)

813 E 4TH ST, Mount Vernon, IN 47620

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Other Identifiers 2

Medicaid200976080IN

Medicare PIN257900B7IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Ann Jackson N.p. 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.

Medicare Billing Reassignments

Medicare enrollment records show Kimberly Jackson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Deaconess Clinic Inc

17 mi

Rural Health

1284 US HIGHWAY 60 W
Morganfield, KY 42437

Reassigned Medicare billing, Kentucky enrollment
174 clinicians in this Medicare group

NPI 1467027664 (270) 389-2323

Kj Health Services LLC

18 mi

Family

1 MAIN ST STE 201
Evansville, IN 47708

Reassigned Medicare billing, Indiana enrollment

NPI 1417770207 (812) 202-6842

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 5

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.

86 services84 patients

Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus 87637

This test identifies if you have COVID-19, influenza A or B, or respiratory syncytial virus. It uses a multiplex amplified probe technique, which amplifies and detects specific genetic material of the viruses, helping in accurate diagnosis.

26 services26 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.

23 services22 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

16 services16 patients

Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique 87651

This test detects Group A Streptococcus bacteria in your body. It uses an amplified probe technique, which amplifies the bacteria's nucleic acid, making it easier to identify. This test helps diagnose conditions like strep throat or scarlet fever.

15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47620 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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 3

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

DEACONESS CLINIC, INC

Nurse Practitioner

813 E 4TH ST
MOUNT VERNON, IN 47620

Posey County (812) 450-2772

JOANNA OSTERMAN

Nurse Practitioner

813 E 4TH ST
MOUNT VERNON, IN 47620

Posey County (812) 450-1325

DR. WILLIAM E SUTTON M.D.

Family Medicine

813 E 4TH ST, SUITE A
MOUNT VERNON, IN 47620

Posey County (812) 838-2139

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 Kimberly Jackson's NPI number?

The NPI number for Kimberly Jackson is 1699001289. It was assigned to this individual provider in the NPPES registry on November 2, 2009.

Where is Kimberly Jackson located?

Kimberly Jackson practices at 813 E 4th St Ste A, Mount Vernon, IN 47620. The listed phone number is (812) 838-2139.

What is Kimberly Jackson's specialty?

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

Is Kimberly Jackson enrolled in Medicare?

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

Which organizations bill Medicare for Kimberly Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Jackson reassigns Medicare benefits to 2 organizations: Deaconess Clinic Inc (Morganfield, KY) and Kj Health Services LLC (Evansville, IN). 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 Kimberly Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Jackson accept?

Health plans from CareSource list Kimberly 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 Kimberly Jackson was last updated on January 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.