Kristen Jackson, FNP-C - Medicare Nurse Practitioner in Elmwood, IL

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Kristen Jackson, FNP-C is a medicare enrolled "Nurse Practitioner" in Elmwood, Illinois. She went to Georgetown University School Of Medicine and graduated in 2017 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Graham Hospital Association and her current practice location is 1024 N Magnolia St, Elmwood, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 742-6334.

Kristen Jackson is licensed to practice in Illinois (license number 209016808) 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 1316465347.

Contact Information

Kristen Jackson, FNP-C
1024 N Magnolia St,
Elmwood, IL 61529-9602
(309) 742-6334
(309) 649-6880

Map and Direction




Provider's Profile

Full NameKristen Jackson
GenderFemale
SpecialityNurse Practitioner
Experience9 Years
Location1024 N Magnolia St, Elmwood, Illinois
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:
  • Kristen Jackson attended and graduated from Georgetown University School Of Medicine in 2017
  NPI Data:
  • NPI Number: 1316465347
  • Provider Enumeration Date: 08/30/2017
  • Last Update Date: 07/07/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8527325356
  • Enrollment ID: I20171201001882

Medical Identifiers

Medical identifiers for Kristen Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316465347NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 041412141 (Illinois)Secondary
363L00000XNurse Practitioner 209016808 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Graham Hospital AssociationCanton, ILHospital
Saint Francis Medical CenterPeoria, ILHospital
St Mary Medical CenterGalesburg, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Graham Hospital Association2769375021112

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. Kristen Jackson allows following entities to bill medicare on her behalf.
Entity NameGraham Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780692087
PECOS PAC ID: 2769375021
Enrollment ID: O20040510000873

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. Kristen 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
Kristen Jackson, FNP-C
180 S Main St,
Canton, IL 61520-2608

Ph: (309) 647-0201		Kristen Jackson, FNP-C
1024 N Magnolia St,
Elmwood, IL 61529-9602

Ph: (309) 742-6334

Reviews and Comments


Nurse Practitioner Nurses in Elmwood, IL

Mrs. Pamela J Garner, MS FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 120 W Main Street, Elmwood, IL 61529
Phone: 309-742-2921    Fax: 309-742-8411
Nathalie Snider, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1024 N Magnolia St, Elmwood, IL 61529
Phone: 309-742-6334    
Mrs. Cristy M Lane, MS FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 120 W Main St, Elmwood, IL 61529
Phone: 309-742-2921    Fax: 309-742-8411

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.