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Active NPI 1881435725 Individual Practitioner Female Practitioner

Krista Jackson , PA

Physician Assistant • Lagrange, IN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Krista Jackson, PA is a certified Physician Assistant practicing in Lagrange, IN. With approximately 3 years of clinical experience since completing medical education in 2023, Krista Jackson delivers high-quality medical care to the local community at 2500 N DETROIT ST.

Krista Jackson is affiliated with Northeast Internal Medicine Associates, Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2500 N Detroit St

Lagrange, IN 467611158

Telephone 2604632133
Fax 2604633775
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2023

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Lagrange, IN

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
3 Yrs -3.5 yrs vs City Avg
City Avg: 6.5 Yrs
State Avg: 9.4 Yrs
Regional Practice Density
3 Specialists

Practicing in Lagrange, IN (2429 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
74.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jackson (3 Years) 3 Yrs
Lagrange Specialty Average (6.5 Years) 6.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
12 12 $500.00 $129.73

Medical Specialties & State Licenses

CMS Verified: 2024-07-12
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IN 10004448A

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Northeast Internal Medicine Associates, Pc

2500 N Detroit St, Lagrange, IN 467611158

Phone: 2604632133

Northeast Internal Medicine Associates, Pc

433 W High St, Bryan, OH 435061690

Phone: 2604632133111

Practice Associates & Co-Workers

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

40 Associated Practitioners
Chelsea Maucher , NP

Nurse Practitioner - Acute Care

NPI 1003353038

Nurse Practitioner

Dr. Shilpa Kashyap , MD

Radiology - Diagnostic Radiology

NPI 1003888116

Doctor of Medicine (M.D.)

Blake Weimer , NP

Nurse Practitioner - Family

NPI 1023732443

Nurse Practitioner

Dr. Vijay Kamineni , MD

Internal Medicine

NPI 1043278294

Doctor of Medicine (M.D.)

Rylee Hackworth , PA

Physician Assistant - Medical

NPI 1063104719

Physician Assistant

Lauren Fiandt , AGNP-BC

Nurse Practitioner

NPI 1114449329

Adult-Gerontology Nurse Practitioner (Board Certified)

Career & Practice History Timeline

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

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 12, 2024

Physician Assistant (License #10004448A in IN)

NPI Profile Active June 04, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location June 04, 2024

Registered at 2500 N DETROIT ST, LAGRANGE, IN 467611158 (Tel: 2604632133)

📍
Updated Business Mailing Address June 04, 2024

Registered at PO BOX 236, LAGRANGE, IN 467610236 (Tel: 2604632133)

👤
Provider Name / Credentials Updated June 04, 2024

Recorded as KRISTA JACKSON, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 04, 2024

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 04, 2024

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: 1881435725
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 04, 2024
Last Update: July 12, 2024
Sole Proprietor: No

Mailing Address

Po Box 236

Lagrange, IN 467610236

Phone: 2604632133

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.