Mr Kristopher Jackson, MSN, CRNP in New Bedford, MA

Mr Kristopher Jackson, MSN, CRNP is a medicare enrolled "Nurse Practitioner - Acute Care" in New Bedford, Massachusetts. He graduated from nursing school in 2013 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Coastal Medical Associates and his current practice location is 110 Willow St, New Bedford, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (603) 781-0155.

Mr Kristopher Jackson is licensed to practice in Massachusetts (license number RN10011850) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1437589827.

Contact Information

	Mr Kristopher Jackson, MSN, CRNP
	110 Willow St, New Bedford, MA 02740
	(603) 781-0155
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Kristopher Jackson
Gender	Male
Speciality	Nurse Practitioner
Experience	12 Years
Location	110 Willow St, New Bedford, Massachusetts
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Kristopher Jackson graduated from nursing school in 2013

NPI Data:

NPI Number: 1437589827
Provider Enumeration Date: 11/21/2013
Last Update Date: 03/27/2025

Medicare PECOS Information:

PECOS PAC ID: 6608007844
Enrollment ID: I20250107003484

Medical Identifiers

Medical identifiers for Mr Kristopher Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437589827	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	SP013313 (Pennsylvania)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	RN10011850 (Massachusetts)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
South Shore Hospital	South weymouth, MA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Coastal Medical Associates	7113029257	412

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. Mr Kristopher Jackson allows following entities to bill medicare on his behalf.

Entity Name	South Shore Medical Center, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669411856 PECOS PAC ID: 3678487444 Enrollment ID: O20040413000332

Entity Name	Coastal Medical Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932175684 PECOS PAC ID: 7113029257 Enrollment ID: O20070221000057

Entity Name	Crausman Medical Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457093742 PECOS PAC ID: 0941689376 Enrollment ID: O20220615001539

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. Mr Kristopher 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 Address	Practice Location Address
Mr Kristopher Jackson, MSN, CRNP 55 Fogg Rd, Weymouth, MA 02190-2455 Ph: () -	Mr Kristopher Jackson, MSN, CRNP 110 Willow St, New Bedford, MA 02740 Ph: (603) 781-0155

Reviews and Comments

Nurse Practitioner Nurses in New Bedford, MA

Rachel Clay, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 54 Brigham St, New Bedford, MA 02740 Phone: 508-979-1100
Regina B Monteiro, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Page St, New Bedford, MA 02740 Phone: 508-973-5918 Fax: 508-973-5916
Mrs. Andria Savery, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 874 Purchase St, New Bedford, MA 02740 Phone: 508-992-6553
Natalie Rebelo Correia, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 874 Purchase St, New Bedford, MA 02740 Phone: 508-992-6553 Fax: 508-984-8420
Sandra C Dacosta, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 225 Field St, New Bedford, MA 02740 Phone: 508-910-3371 Fax: 508-910-3363
Ms. Dorothy Jean Dunn, PHD, CNP, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1501 Acushnet Ave, New Bedford, New Bedford, MA 02746 Phone: 928-606-3808
Ms. Doreen Lima Huffman, LMHC, RN, PMH-NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13 N 6th St Fl 2, New Bedford, MA 02740 Phone: 774-929-7420 Fax: 508-742-1746

Mr Kristopher Jackson, MSN, CRNP - Medicare Nurse Practitioner in New Bedford, MA