CHRISTINE S JACKSON NP-C
NPI 1972921500
Nurse Practitioner - Family in Beaumont, TX

Q: What is Christine Jackson's NPI number?

The NPI number for Christine Jackson is 1972921500. It was assigned to this individual provider in the NPPES registry on April 1, 2014.

Q: What is Christine 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 Christine Jackson was last updated on December 14, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 01, 2014PECOS EnrolledAccepts Medicare Assignment

2693 NORTH ST, BEAUMONT, TX 77702(409) 832-8862(409) 832-1664 Get Directions Write a Review

NPPES record last updated: December 14, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 14, 2023, Apr 28, 2017 (2 updates tracked since 2017).

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About Christine S Jackson Np-c NPPES

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

CHRISTINE S JACKSON NP-C (NPI 1972921500) is an individual family provider in Beaumont, Texas, licensed in Texas (AP125323) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with Christus Southeast Texas- St Elizabeth, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1972921500

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameCHRISTINE S JACKSONCredential: NP-C

Location Address2693 NORTH STBeaumont, TX 77702-1624

Mailing Address2693 North StBeaumont, TX 77702-1624 · (409) 832-8862 · Fax (409) 832-1664

Phone(409) 832-8862

Fax(409) 832-1664

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateApril 1, 2014

Last NPPES UpdateDecember 14, 20232 updates tracked since enumeration

NPPES CertifiedDecember 14, 2023

✔ NPI 1972921500 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 TX · AP125323

2693 NORTH ST, Beaumont, TX 77702

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Other Identifiers 1

Medicaid353166701TX

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

Christine S Jackson Np-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 ID648592840

PECOS Enrollment IDI20141125000279

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.

Hospital Affiliations CMS Care Compare 2

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

Christus Southeast Texas- St Elizabeth

Acute Care Hospitals · Beaumont, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450034

Location2830 Calder AvenueBeaumont, TX 77702 · Jefferson County

Emergency services Birthing friendly

Baptist Beaumont Hospital

Acute Care Hospitals · Beaumont, TX

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450346

Location3080 College StreetBeaumont, TX 77701 · Jefferson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77702 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

$83.80 typical visit price

range $54.04 – $164.93

Typical copayment $20.95 (range $13.51 – $41.23)

Most-billed visit code 99203

Established Patient

$95.83 typical visit price

range $17.17 – $134.47

Typical copayment $23.95 (range $4.29 – $33.61)

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.

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Other Providers at the Same Location NPPES 7

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

KAYLA DOMINGUEZ PA

Physician Assistant (Medical)