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KIRSTEN LEE JACKSON AGACNP-BC
NPI 1932055530
Nurse Practitioner - Acute Care in Hattiesburg, MS

Active since March 06, 2026PECOS Enrolled
5001 HARDY ST, HATTIESBURG, MS 39402(601) 261-5700(601) 261-5777 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 5, 2026, Mar 6, 2026 (2 updates tracked since 2026).

About Kirsten Lee Jackson Agacnp-bc NPPES

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

KIRSTEN LEE JACKSON AGACNP-BC (NPI 1932055530) is an individual acute care provider in Hattiesburg, Mississippi, licensed in Mississippi (908210) and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS, maintains a secondary practice location in Hattiesburg, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1932055530
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameKIRSTEN LEE JACKSONCredential: AGACNP-BC
Location Address5001 HARDY STHattiesburg, MS 39402-1308
Mailing Address5001 Hardy StHattiesburg, MS 39402-1308 · (601) 261-5700 · Fax (601) 261-5777
Phone(601) 261-5700
Fax(601) 261-5777
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMarch 6, 2026
Last NPPES UpdateMay 5, 20262 updates tracked since enumeration
NPPES CertifiedMay 5, 2026
✔ NPI 1932055530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in MS · 908210
5001 HARDY ST, Hattiesburg, MS 39402
Open in Google Maps ↗

Secondary Practice Location 1

Location 15003 Hardy St Ste 200Hattiesburg, MS 39402-1331 · Phone (601) 261-5700

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kirsten Lee Jackson Agacnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2769952910
PECOS Enrollment IDI20260528002861
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 39402 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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 20

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

SARAH ALYSSA SMITH FNP-C
Nurse Practitioner (Primary Care)
5001 HARDY ST
HATTIESBURG, MS 39402
Lamar County (601) 268-8000
BLAKE EDWIN BOLEWARE
Student in an Organized Health Care Education/Training Program
5001 HARDY ST
HATTIESBURG, MS 39402
Lamar County (601) 268-8000
RIVER PHYSICIANS GROUP LLC
Emergency Medicine
5001 HARDY ST
HATTIESBURG, MS 39402
Lamar County (770) 874-5439
BRADLEY WILLIAMS DO
Emergency Medicine
5001 HARDY ST
HATTIESBURG, MS 39402
Lamar County (601) 296-3963
NATALIE-ROSE SMITH DO
Student in an Organized Health Care Education/Training Program
5001 HARDY ST
HATTIESBURG, MS 39402
Lamar County (407) 697-9118
MIJU YU KURTZWEIL D.O.
Emergency Medicine
5001 HARDY ST, MERIT HEALTH WESLEY
HATTIESBURG, MS 39402
Lamar County (601) 296-3963
DR. MAITREE K PATEL MD
Student in an Organized Health Care Education/Training Program
5001 HARDY ST
HATTIESBURG, MS 39402
Lamar County (601) 296-3963
ANNETTE LONGO MD
Emergency Medicine
5001 HARDY ST
HATTIESBURG, MS 39402
Lamar County (601) 268-8000

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 Kirsten Jackson's NPI number?

The NPI number for Kirsten Jackson is 1932055530. It was assigned to this individual provider in the NPPES registry on March 6, 2026.

Where is Kirsten Jackson located?

Kirsten Jackson practices at 5001 Hardy St, Hattiesburg, MS 39402. The listed phone number is (601) 261-5700.

What is Kirsten Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Kirsten Jackson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kirsten Jackson was last updated on May 5, 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.