Kristen Elizabeth Jackson, FNP-C - Medicare Nurse Practitioner in Vansant, VA

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Kristen Elizabeth Jackson, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Vansant, Virginia. Her current practice location is 2418 Fletchers Ridge Rd, Vansant, Virginia. You can reach out to her office (for appointments etc.) via phone at (276) 701-1390.

Kristen Elizabeth Jackson is licensed to practice in Virginia (license number 0024185074) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1396461745.

Contact Information

Kristen Elizabeth Jackson, FNP-C
2418 Fletchers Ridge Rd,
Vansant, VA 24656-7554
(276) 701-1390
Not Available

Map and Direction




Provider's Profile

Full NameKristen Elizabeth Jackson
GenderFemale
SpecialityNurse Practitioner - Family
Location2418 Fletchers Ridge Rd, Vansant, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1396461745
  • Provider Enumeration Date: 10/18/2022
  • Last Update Date: 10/18/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3072984657
  • Enrollment ID: I20230118000771

Medical Identifiers

Medical identifiers for Kristen Elizabeth Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396461745NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 0024185074 (Virginia)Primary

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 Elizabeth Jackson allows following entities to bill medicare on her behalf.
Entity NameClinch Valley Physicians Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104265214
PECOS PAC ID: 9133146111
Enrollment ID: O20130821001053

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 Elizabeth 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 Elizabeth Jackson, FNP-C
2418 Fletchers Ridge Rd,
Vansant, VA 24656-7554

Ph: (276) 701-1390		Kristen Elizabeth Jackson, FNP-C
2418 Fletchers Ridge Rd,
Vansant, VA 24656-7554

Ph: (276) 701-1390

Reviews and Comments


Nurse Practitioner Nurses in Vansant, VA

Ms. Barbara L Shinall, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 18765 Riverside Dr, 924 Box, Vansant, VA 24656
Phone: 276-935-2880    
Kimberly D Dula, MS, APRN, BC, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 18765 Riverside Drive, Vansant, VA 24656
Phone: 276-395-2880    Fax: 276-395-2889
Sandra Jean Vandyke, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 18765 Riverside Dr, Vansant, VA 24656
Phone: 276-935-2880    Fax: 276-935-2889
Mary E Kenny, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 18765 Riverside Drive, Vansant, VA 24656
Phone: 276-935-2880    Fax: 276-935-2889
Mrs. Jessica Faye Rasnick, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1721 Lovers Gap Rd, Vansant, VA 24656
Phone: 276-597-7081    Fax: 276-546-9709
Anita Renee Woolford, MSN, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 18765 Riverside Drive, Vansant, VA 24656
Phone: 276-935-2880    Fax: 276-935-2889

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.