KRISTA JACKSON PA
NPI 1881435725
Physician Assistant in Lagrange, IN

Q: What is Krista Jackson's NPI number?

The NPI number for Krista Jackson is 1881435725. It was assigned to this individual provider in the NPPES registry on June 4, 2024.

Q: What is Krista Jackson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Krista Jackson was last updated on July 12, 2024. 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 June 04, 2024PECOS EnrolledAccepts Medicare Assignment

2500 N DETROIT ST, LAGRANGE, IN 46761(260) 463-2133(260) 463-3775 Get Directions Write a Review

NPPES record last updated: July 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 12, 2024, Jun 4, 2024 (2 updates tracked since 2024).

On this page

About Krista Jackson Pa NPPES

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

KRISTA JACKSON PA (NPI 1881435725) is an individual physician assistant in Lagrange, Indiana, licensed in Indiana (10004448A) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS, is affiliated with Parkview Dekalb Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1881435725

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKRISTA JACKSONCredential: PA

Location Address2500 N DETROIT STLagrange, IN 46761-1158

Mailing AddressPo Box 236Lagrange, IN 46761-0236 · (260) 463-2133 · Fax (260) 463-3775

Phone(260) 463-2133

Fax(260) 463-3775

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJune 4, 2024

Last NPPES UpdateJuly 12, 20242 updates tracked since enumeration

NPPES CertifiedJuly 12, 2024

✔ NPI 1881435725 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 · 10004448A

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.

2500 N DETROIT ST, Lagrange, IN 46761

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Krista Jackson Pa 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 ID8921544487

PECOS Enrollment IDI20240722001225, I20260206003596

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

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Parkview Dekalb Hospital

Acute Care Hospitals · Auburn, IN

OwnershipVoluntary non-profit - Private

CMS Certification Number150045

Location1316 E Seventh StAuburn, IN 46706 · De Kalb County

Emergency services Birthing friendly

Parkview Whitley Hospital

Acute Care Hospitals · Columbia City, IN

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150101

Location1260 E Sr 205Columbia City, IN 46725 · Whitley County

Emergency services Birthing friendly

Parkview Wabash Hospital, Inc

Critical Access Hospitals · Wabash, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number151310

Location10 John Kissinger DriveWabash, IN 46992 · Wabash County

Emergency services Birthing friendly

Adams Memorial Hospital

Critical Access Hospitals · Decatur, IN

OwnershipGovernment - Local

CMS Certification Number151330

Location1100 Mercer AveDecatur, IN 46733 · Adams County

Emergency services Birthing friendly

Van Wert County Hospital

Acute Care Hospitals · Van Wert, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360071

Location1250 S Washington StreetVan Wert, OH 45891 · Van Wert County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46761 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 20

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

CHELSEA LAUREN MAUCHER NP

Nurse Practitioner (Acute Care)