Krystle Starr Marie Jackson, RN - Registered Nurse in Merrillville, IN

Krystle Starr Marie Jackson, RN is a Registered Nurse based in Merrillville, Indiana. Krystle Starr Marie Jackson is licensed to practice in Indiana (license number 28208846A) and her current practice location is 8701 Broadway, Merrillville, Indiana. She can be reached at her office (for appointments etc.) via phone at (219) 738-5510.

NPI number for Krystle Starr Marie Jackson is 1417754292 and her current mailing address is 5433 Van Buren St, Merrillville, Indiana. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417754292.

Contact Information

Krystle Starr Marie Jackson, RN
8701 Broadway,
Merrillville, IN 46410-7035
(219) 738-5510
Not Available

Map and Direction




Provider's Profile

Full NameKrystle Starr Marie Jackson
GenderFemale
SpecialityRegistered Nurse
Location8701 Broadway, Merrillville, Indiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1417754292
  • Provider Enumeration Date: 02/27/2025
  • Last Update Date: 02/27/2025

Medical Identifiers

Medical identifiers for Krystle Starr Marie Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417754292NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 28208846A (Indiana)Primary

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. Krystle Starr Marie Jackson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Krystle Starr Marie Jackson, RN
5433 Van Buren St,
Merrillville, IN 46410-1460

Ph: (765) 461-3366
Krystle Starr Marie Jackson, RN
8701 Broadway,
Merrillville, IN 46410-7035

Ph: (219) 738-5510

Reviews and Comments


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Mr. Vincent Liszewski, RN
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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.