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

Q: 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.

Q: What is Charles 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 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 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.

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: August 09, 2026.

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

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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, and ordering and referring status from the CMS PECOS system.

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.

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