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MR. CHARLES E. JACKSON FNP-C
NPI 1871995803
Nurse Practitioner - Family in Fairfax, VA

Active since September 22, 2014PECOS EnrolledAccepts Medicare Assignment
8260 WILLOW OAKS CORPORATE DR STE 650, FAIRFAX, VA 22031(703) 776-2000(571) 665-6797 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 6, 2026, May 19, 2022, Dec 18, 2019 and 2 more (5 updates tracked since 2016).

About Mr. Charles E. Jackson Fnp-c NPPES

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

MR. CHARLES E. JACKSON FNP-C (NPI 1871995803) is an individual family provider in Fairfax, Virginia, licensed in Virginia (0024178860) and active in the NPI registry since September 2014. He is enrolled in Medicare PECOS and is a graduate of George Washington University School Of Medicine (2014).

NPPES Registry Identity

NPI1871995803
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. CHARLES E. JACKSONCredential: FNP-C
Location Address8260 WILLOW OAKS CORPORATE DR STE 650Fairfax, VA 22031-4531
Mailing AddressPo Box 37174Baltimore, MD 21297-3174 · (571) 423-5699 · Fax (571) 423-5698
Phone(703) 776-2000
Fax(571) 665-6797
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 2014
Enumeration DateSeptember 22, 2014
Last NPPES UpdateMay 6, 20265 updates tracked since enumeration
NPPES CertifiedMay 6, 2026
✔ NPI 1871995803 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 VA · 0024178860
8260 WILLOW OAKS CORPORATE DR STE 650, Fairfax, VA 22031
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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

Mr. Charles E. Jackson Fnp-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 ID7810219268
PECOS Enrollment IDI20181015003332, I20220518000260
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

5

Medicare enrollment records show Charles Jackson reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine Associates P.A., P.C.
0.5 mi
Emergency Medicine
3300 GALLOWS RD
Falls Church, VA 22042
  • Reassigned Medicare billing, Virginia enrollment
  • 1,294 clinicians in this Medicare group
NPI 1134117393 (703) 776-4001
Inova Health Care Services
0.5 mi
Internal Medicine
3300 GALLOWS RD, PHYSICIAN SERVICES
Falls Church, VA 22042
  • Reassigned Medicare billing, District of Columbia and Virginia enrollments
  • Also billed through NPI 1588717755 (Virginia), NPI 1275886418 (District of Columbia)
  • 167 clinicians in this Medicare group
NPI 1952320061 (703) 321-2627
Inova Ucc LLC
3.2 mi
Urgent Care
180 MAPLE AVE W
Vienna, VA 22180
  • Reassigned Medicare billing, District of Columbia and Virginia enrollments
  • 146 clinicians in this Medicare group
NPI 1508592114 (571) 363-3539
Medical Faculty Associates, Inc
10 mi
Anesthesiology
2150 PENNSYLVANIA AVE NW, SUITE 10-409A
Washington, DC 20037
  • Reassigned Medicare billing, District of Columbia enrollment
  • 1,275 clinicians in this Medicare group
NPI 1417990581 (202) 741-3350
Medstar Urgent Care, LLC
16 mi
Urgent Care
11915 GEORGIA AVE
Wheaton, MD 20902
  • Reassigned Medicare billing, District of Columbia enrollment
  • 309 clinicians in this Medicare group
NPI 1871843409 (301) 942-4505

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 10

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.
63 services63 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 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.
41 services21 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
38 services38 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.
31 services31 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
30 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22031 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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 6

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

ANDREW JOHN ITUTUD DERKS PHYSICIAN ASSISTANT
Physician Assistant
8260 WILLOW OAKS CORPORATE DR STE 650
FAIRFAX, VA 22031
Fairfax County (703) 776-2000
STEPHANIE ANNE SHEPARD PA
Physician Assistant
8260 WILLOW OAKS CORPORATE DR STE 650
FAIRFAX, VA 22031
Fairfax County (703) 776-2000
DANYELLE NICOLE DAVIS ACNP-BC
Nurse Practitioner
8260 WILLOW OAKS CORPORATE DR STE 650
FAIRFAX, VA 22031
Fairfax County (703) 776-2000
TAMIKA JONES FNP-C
Nurse Practitioner (Family)
8260 WILLOW OAKS CORPORATE DR STE 650
FAIRFAX, VA 22031
Fairfax County (571) 472-0827
MS. JOYCE VENERACION COLOBONG NP
Nurse Practitioner
8260 WILLOW OAKS CORPORATE DR STE 650
FAIRFAX, VA 22031
Fairfax County (703) 776-2000
MRS. TAMARA D KANESHIRO PA
Physician Assistant
8260 WILLOW OAKS CORPORATE DR STE 650
FAIRFAX, VA 22031
Fairfax County (703) 776-2000

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 Charles Jackson's NPI number?

The NPI number for Charles Jackson is 1871995803. It was assigned to this individual provider in the NPPES registry on September 22, 2014.

Where is Charles Jackson located?

Charles Jackson practices at 8260 Willow Oaks Corporate Dr Ste 650, Fairfax, VA 22031. The listed phone number is (703) 776-2000.

What is Charles Jackson's specialty?

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

Is Charles Jackson enrolled in Medicare?

Yes. Charles 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 Charles Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Jackson reassigns Medicare benefits to 5 organizations: Emergency Medicine Associates P.A., P.C. (Falls Church, VA), Inova Health Care Services (Falls Church, VA), Inova Ucc LLC (Vienna, VA), Medical Faculty Associates, Inc (Washington, DC) and Medstar Urgent Care, LLC (Wheaton, 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 Charles Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Charles Jackson was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.