CARLA MARIE JACKSON APRN
NPI 1710694971
Nurse Practitioner - Primary Care in Fulton, AR
About Carla Marie Jackson Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARLA MARIE JACKSON APRN (NPI 1710694971) is an individual primary care provider in Fulton, Arkansas, licensed in Texas (1036336) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses 3
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
Carla Marie Jackson Aprn 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.
Medicare Billing Reassignments
4Medicare enrollment records show Carla Jackson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hot Springs, AR 71913
- Reassigned Medicare billing, Arkansas enrollment
- 25 clinicians in this Medicare group
Bentonville, AR 72712
- Reassigned Medicare billing, Arkansas enrollment
- 72 clinicians in this Medicare group
Flowood, MS 39232
- Reassigned Medicare billing, Arkansas and Texas enrollments
- 20 clinicians in this Medicare group
Middle River, MD 21220
- Reassigned Medicare billing, Texas enrollment
- 94 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 6
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 71838 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Carla Jackson's NPI number?
The NPI number for Carla Jackson is 1710694971. It was assigned to this individual provider in the NPPES registry on October 27, 2022.
Where is Carla Jackson located?
Carla Jackson practices at 4903 Highway 67 W, Fulton, AR 71838. The listed phone number is (903) 244-5368.
What is Carla Jackson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Carla Jackson enrolled in Medicare?
Yes. Carla 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 Carla Jackson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carla Jackson reassigns Medicare benefits to 4 organizations: Hot Springs Interventional Pain Management PA (Hot Springs, AR), Venvisor Health Of Ar PA (Bentonville, AR), Wound Management Specialists, LLC (Flowood, MS) and Comprehensive Rehab Consultants PLLC (Middle River, MD). 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 Carla Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carla Jackson accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Carla 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 Carla Jackson was last updated on October 27, 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.
# Carla Marie Jackson, APRN · NPI 1710694971
Primary Care physician in Fulton, Arkansas. Individual provider, active in the CMS NPPES registry since October 27, 2022.
## Identity
- **NPI:** 1710694971 (Entity type: Individual)
- **Enumerated:** October 27, 2022
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 1036336 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4903 HIGHWAY 67 W, Fulton, AR 71838-9033
- **Phone:** (903) 244-5368
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Hot Springs Interventional Pain Management PA (NPI 1376733824, Hot Springs, AR); Venvisor Health Of Ar PA (NPI 1992553028, Bentonville, AR); Wound Management Specialists, LLC (NPI 1972150084, Flowood, MS); Comprehensive Rehab Consultants PLLC (NPI 1710529771, Middle River, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** October 27, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1710694971) · Data from the CMS NPPES public registry.