Kimberly Jackson, DNP, FNP-BC - Medicare Nurse Practitioner in Denver, NC

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Kimberly Jackson, DNP, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Denver, North Carolina. She graduated from nursing school in 2017 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Wake Forest Health Network Llc and her current practice location is 4764 N Nc 16 Business Hwy, Denver, North Carolina. You can reach out to her office (for appointments etc.) via phone at (980) 222-7004.

Kimberly Jackson is licensed to practice in North Carolina (license number 5009861) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1871012682.

Contact Information

Kimberly Jackson, DNP, FNP-BC
4764 N Nc 16 Business Hwy,
Denver, NC 28037-7915
(980) 222-7004
Not Available

Map and Direction




Provider's Profile

Full NameKimberly Jackson
GenderFemale
SpecialityNurse Practitioner
Experience9 Years
Location4764 N Nc 16 Business Hwy, Denver, North Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kimberly Jackson graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1871012682
  • Provider Enumeration Date: 09/12/2017
  • Last Update Date: 07/22/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 9032478169
  • Enrollment ID: I20180118001998

Medical Identifiers

Medical identifiers for Kimberly Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871012682NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 5009861 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
North Carolina Baptist HospitalWinston-salem, NCHospital
Catawba Valley Medical CenterHickory, NCHospital
Frye Regional Medical CenterHickory, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Wake Forest Health Network Llc4183538895276

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kimberly Jackson allows following entities to bill medicare on her behalf.
Entity NameWake Forest Health Network LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477785756
PECOS PAC ID: 4183538895
Enrollment ID: O20031117000868
Entity NameJackson Family Medicine and Wellness Center Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780561118
PECOS PAC ID: 6002308871
Enrollment ID: O20251120000612

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly Jackson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kimberly Jackson, DNP, FNP-BC
4764 N Nc 16 Business Hwy,
Denver, NC 28037-7915

Ph: (980) 222-7004		Kimberly Jackson, DNP, FNP-BC
4764 N Nc 16 Business Hwy,
Denver, NC 28037-7915

Ph: (980) 222-7004

Reviews and Comments


Nurse Practitioner Nurses in Denver, NC

Kendra Jackson, NP
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Marlisa Bullock-durham, NP
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Practice Location: 269 Gillman Rd Ste 100, Denver, NC 28037
Phone: 704-316-4930    Fax: 704-316-4931
Kathryn Jansen, NP
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Phone: 704-724-3388    
Mrs. Kelly Lynn Tolcher, RNCPHP
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Medicare: Medicare Enrolled
Practice Location: 269 Gillman Rd Ste 200a, Denver, NC 28037
Phone: 704-316-5287    Fax: 704-316-5268
Shana Melinda Freeman, NURSE PRACTITIONER
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Medicare: Accepting Medicare Assignments
Practice Location: 7490 Waterside Crossing Blvd Ste 2a, Denver, NC 28037
Phone: 704-360-3637    
Marie Krider Lively, PNP-PC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 635 N Nc 16 Business Hwy, Denver, NC 28037
Phone: 704-489-8401    
Kellie Harney O'hara, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 275 N Nc 16 Business Hwy Ste 104, Denver, NC 28037
Phone: 704-489-3440    Fax: 888-815-0892

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.