KRISTIN GAYLE JACKSON
NPI 1730968090
Nurse Practitioner - Family in Florence, SC

Q: What is Kristin Jackson's NPI number?

The NPI number for Kristin Jackson is 1730968090. It was assigned to this individual provider in the NPPES registry on September 26, 2023.

Q: What is Kristin Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kristin Jackson was last updated on September 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 September 26, 2023PECOS EnrolledAccepts Medicare Assignment

360 N IRBY ST, FLORENCE, SC 29501(843) 667-9414 Get Directions Write a Review

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Kristin Gayle Jackson NPPES

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

KRISTIN GAYLE JACKSON (NPI 1730968090) is an individual family provider in Florence, South Carolina, licensed in South Carolina (27855) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS, is affiliated with Mcleod Regional Medical Center-pee Dee, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1730968090

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKRISTIN GAYLE JACKSON

Location Address360 N IRBY STFlorence, SC 29501-2808

Mailing Address360 N Irby StFlorence, SC 29501-2808 · (843) 667-9414

Phone(843) 667-9414

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateSeptember 26, 2023

NPPES CertifiedSeptember 26, 2023

✔ NPI 1730968090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in SC · 27855

360 N IRBY ST, Florence, SC 29501

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kristin Gayle Jackson 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 ID3779939392

PECOS Enrollment IDI20231102000059

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.

Hospital Affiliations CMS Care Compare 2

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

Mcleod Regional Medical Center-Pee Dee

Acute Care Hospitals · Florence, SC

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420051

Location555 E Cheves St Box 8700Florence, SC 29506 · Florence County

Emergency services Birthing friendly

Musc Health Florence Medical Center

Acute Care Hospitals · Florence, SC

3/5 CMS rating

OwnershipGovernment - State

CMS Certification Number420091

Location805 Pamplico Hwy Box 100550Florence, SC 29505 · Florence County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29501 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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 20

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

LAKYN BENDLE

Counselor (Professional)