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Active NPI 1316465347 Individual Practitioner Female Practitioner

Kristen Jackson , FNP-C

Nurse Practitioner • Elmwood, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kristen Jackson, FNP-C is a certified Nurse Practitioner practicing in Elmwood, IL. With approximately 9 years of clinical experience since graduating from Georgetown University School Of Medicine in 2017, Kristen Jackson delivers high-quality medical care to the local community at 1024 N MAGNOLIA ST.

Kristen Jackson is affiliated with Graham Hospital Association and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, automated urinalysis test, urinalysis, manual test. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1024 N Magnolia St

Elmwood, IL 615299602

Telephone 3097426334
Fax 3096496880
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Georgetown University School Of Medicine

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Elmwood, IL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs Matches City Avg
City Avg: 9.0 Yrs
State Avg: 10.4 Yrs
Regional Practice Density
3 Specialists

Practicing in Elmwood, IL (4929 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
44.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jackson (9 Years) 9 Yrs
Elmwood Specialty Average (9.0 Years) 9.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
30 22 $114.20 $74.95
81003 Automated urinalysis test
14 14 $25.50 $2.21

Medical Specialties & State Licenses

CMS Verified: 2021-07-07
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209016808

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License IL 041412141

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Hospital & Practice Group Affiliations

Graham Hospital Association

180 S Main St, Canton, IL 615202608

Phone: 3096470201

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

35 Associated Practitioners
Dr. A Savegnago , MD

Family Medicine

NPI 1003924085

Doctor of Medicine (M.D.)

Jared Grzanich , PA-C

Physician Assistant

NPI 1093984551

Physician Assistant (Certified)

NPI 1174631337

Doctor of Medicine (M.D.)

Dr. Jimmie Smith , MD

Internal Medicine

NPI 1194834937

Doctor of Medicine (M.D.)

Cody Gibbs , NP-C

Nurse Practitioner

NPI 1205335510

Nurse Practitioner (Certified)

Dr. Chad Lampe , MD

Family Medicine

NPI 1235659475

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location April 06, 2021

Registered at 1024 N MAGNOLIA ST, ELMWOOD, IL 615299602 (Tel: 3097426334)

📍
Updated Business Mailing Address April 06, 2021

Registered at 180 S MAIN ST, CANTON, IL 615202608 (Tel: 3096470201)

NPI Profile Active August 30, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 30, 2017

Registered at 834 N SEMINARY ST STE 201, GALESBURG, IL 614012898 (Tel: (309) 343-7130)

📍
Updated Business Mailing Address August 30, 2017

Registered at 834 N SEMINARY ST STE 201, GALESBURG, IL 614012898 (Tel: 3093437130)

👤
Provider Name / Credentials Updated August 30, 2017

Recorded as KRISTEN JACKSON, FNP-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 30, 2017

Registered Nurse (License #041412141 in IL)

🟢
Initial NPI Registration & Enumeration August 30, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1316465347
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 30, 2017
Last Update: July 07, 2021
Sole Proprietor: Yes

Mailing Address

180 S Main St

Canton, IL 615202608

Phone: 3096470201

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.