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EMMA CAROL JACKSON PA-C
NPI 1841148988
Physician Assistant in Bloomington, IN

Active since March 16, 2026PECOS Enrolled
415 S LANDMARK AVE, BLOOMINGTON, IN 47403(812) 333-7433(812) 333-7435 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 6, 2026, Mar 16, 2026 (2 updates tracked since 2026).

About Emma Carol Jackson Pa-c NPPES

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

EMMA CAROL JACKSON PA-C (NPI 1841148988) is an individual physician assistant in Bloomington, Indiana, licensed in Indiana (10005272A) and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS, maintains 6 additional practice locations, and is a graduate of Other (2026).

NPPES Registry Identity

NPI1841148988
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameEMMA CAROL JACKSONCredential: PA-C
Location Address415 S LANDMARK AVEBloomington, IN 47403-5003
Mailing Address801 York StManitowoc, WI 54220-4630 · (920) 663-9008 · Fax (920) 684-1439
Phone(812) 333-7433
Fax(812) 333-7435
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateMarch 16, 2026
Last NPPES UpdateApril 6, 20262 updates tracked since enumeration
NPPES CertifiedApril 6, 2026
✔ NPI 1841148988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IN · 10005272A
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
415 S LANDMARK AVE, Bloomington, IN 47403
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Secondary Practice Locations 6

Location 11428 N Gardner StScottsburg, IN 47170-8720 · Phone (812) 752-3512 · Fax (812) 752-3784
Location 2505 W Homer St Ste 201Salem, IN 47167-1698 · Phone (812) 883-0024 · Fax (812) 883-8574
Location 32130 W Sycamore St Ste 200Kokomo, IN 46901-6461 · Phone (765) 457-4455 · Fax (765) 457-0056
Location 41263 Hospital Dr NW Ste 100Corydon, IN 47112-2173 · Phone (812) 572-4839 · Fax (812) 733-7838
Location 5244 Westwood BlvdColumbus, IN 47201-5687 · Phone (812) 669-0141 · Fax (812) 799-7062
Location 6303 S Walnut StSeymour, IN 47274-2368 · Phone (812) 358-7705 · Fax (888) 254-0293

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emma Carol Jackson Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2365918588
PECOS Enrollment IDI20260415002870
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47403 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
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
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 2

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

ANISHA DURGA KOTHARI PA-C
Physician Assistant
415 S LANDMARK AVE
BLOOMINGTON, IN 47403
Monroe County (812) 932-2387
FOREFRONT DERMATOLOGY, S.C.
Dermatology
415 S LANDMARK AVE
BLOOMINGTON, IN 47403
Monroe County (812) 333-7433

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 Emma Jackson's NPI number?

The NPI number for Emma Jackson is 1841148988. It was assigned to this individual provider in the NPPES registry on March 16, 2026.

Where is Emma Jackson located?

Emma Jackson practices at 415 S Landmark Ave, Bloomington, IN 47403. The listed phone number is (812) 333-7433.

What is Emma Jackson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Emma Jackson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Emma Jackson was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.