Mrs Kristie Lynn Jackson, NP - Medicare Nurse Practitioner in Blacksburg, VA

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Mrs Kristie Lynn Jackson, NP is a medicare enrolled "Nurse Practitioner - Family" in Blacksburg, Virginia. She graduated from nursing school in 2006 and has 18 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Wildwood Emergency Group, Llc and her current practice location is 3700 South Main Street, Blacksburg, Virginia. You can reach out to her office (for appointments etc.) via phone at (540) 953-5385.

Mrs Kristie Lynn Jackson is licensed to practice in Virginia (license number 0024167104) 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 1053407817.

Contact Information

Mrs Kristie Lynn Jackson, NP
3700 South Main Street,
Blacksburg, VA 24060
(540) 953-5385
Not Available

Map and Direction




Provider's Profile

Full NameMrs Kristie Lynn Jackson
GenderFemale
SpecialityNurse Practitioner
Experience18 Years
Location3700 South Main Street, Blacksburg, Virginia
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:
  • Mrs Kristie Lynn Jackson graduated from nursing school in 2006
  NPI Data:
  • NPI Number: 1053407817
  • Provider Enumeration Date: 10/05/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 3476724287
  • Enrollment ID: I20110927000249

Medical Identifiers

Medical identifiers for Mrs Kristie Lynn Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053407817NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 0024167104 (Virginia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Wildwood Emergency Group, Llc478993238527

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. Mrs Kristie Lynn Jackson allows following entities to bill medicare on her behalf.
Entity NameEmergency Coverage Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053351593
PECOS PAC ID: 8820983430
Enrollment ID: O20061003000679
Entity NameLake Spring Emergency Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215429600
PECOS PAC ID: 6406103498
Enrollment ID: O20180723001173
Entity NameWildwood Emergency Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013409721
PECOS PAC ID: 4789932385
Enrollment ID: O20180730001151
Entity NameKingsford Emergency Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336631480
PECOS PAC ID: 3870841117
Enrollment ID: O20180802003435
Entity NameKingsford Physician Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871088526
PECOS PAC ID: 0840541017
Enrollment ID: O20180927000385

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. Mrs Kristie Lynn 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
Mrs Kristie Lynn Jackson, NP
2900 Mudpike Road,
Christiansburg, VA 24073

Ph: (540) 382-9139		Mrs Kristie Lynn Jackson, NP
3700 South Main Street,
Blacksburg, VA 24060

Ph: (540) 953-5385

Reviews and Comments


Nurse Practitioner Nurses in Blacksburg, VA

Gwendolyn Williams Spangler, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2600 Research Center Dr # A, Blacksburg, VA 24060
Phone: 540-381-5291    
Theresa Ann Buchanan, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: Charles W Schiffert Health Ctr, Mccomas Hall, Blacksburg, VA 24061
Phone: 540-231-5313    Fax: 540-231-7473
Susan I Gaither, RNCNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3708 S Main St, Blacksburg, VA 24060
Phone: 540-951-3376    Fax: 540-951-1276
Amanda Mitchell Hale, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 829 Davis St, Blacksburg, VA 24060
Phone: 540-443-3940    
Christina Rice,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2617 Sheffield Dr, Blacksburg, VA 24060
Phone: 540-953-2210    Fax: 540-951-9112
Jessica L Fultz, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 801 Davis St, Blacksburg, VA 24060
Phone: 540-961-0218    

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.