LAURA LYNN JACKSON PA-C
NPI 1770817421
Physician Assistant - Medical in Fayetteville, AR

Active since September 29, 2009PECOS EnrolledAccepts Medicare Assignment
2630 E CITIZENS DR STE 3, FAYETTEVILLE, AR 72703(479) 527-9966(479) 527-9677 Get Directions Write a Review

NPPES record last updated: January 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 21, 2021, Nov 18, 2020, Aug 28, 2019 and 3 more (6 updates tracked since 2017).

About Laura Lynn Jackson Pa-c NPPES

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

LAURA LYNN JACKSON PA-C (NPI 1770817421) is an individual medical provider in Fayetteville, Arkansas and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1770817421
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameLAURA LYNN JACKSONCredential: PA-C
Location Address2630 E CITIZENS DR STE 3Fayetteville, AR 72703-4797
Mailing Address2630 E Citizens Dr Ste 3Fayetteville, AR 72703-4797 · (479) 527-9966 · Fax (479) 527-9677
Fax(479) 527-9677
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateSeptember 29, 2009
Last NPPES UpdateJanuary 21, 20216 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2021
NPI 1770817421 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
2630 E CITIZENS DR STE 3, Fayetteville, AR 72703

Other Identifiers 2

Medicaid200616270AOK
Medicaid190941795AR

Accepted 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

Laura Lynn Jackson Pa-c 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 ID9537203591
PECOS Enrollment IDI20100215000771
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.

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.

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.
80 services77 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.
52 services52 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
34 services33 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
32 services16 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.
29 services28 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
14 services14 patients

Other Providers at the Same Location NPPES 2

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

Clinic/Center (Federally Qualified Health Center (FQHC))
2630 E CITIZENS DR STE 3
FAYETTEVILLE, AR 72703
Family Medicine
2630 E CITIZENS DR STE 3
FAYETTEVILLE, AR 72703

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 Laura Jackson's NPI number?

The NPI number for Laura Jackson is 1770817421. It was assigned to this individual provider in the NPPES registry on September 29, 2009.

Where is Laura Jackson located?

Laura Jackson practices at 2630 E Citizens Dr Ste 3, Fayetteville, AR 72703. The listed phone number is (479) 527-9966.

What is Laura Jackson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Laura Jackson enrolled in Medicare?

Yes. Laura 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.

What insurance does Laura Jackson accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage, Medica and Octave list Laura 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 Laura Jackson was last updated on January 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.