Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1649717232 Individual Practitioner Female Practitioner

Kina Ladawn Jackson , AGNP

Nurse Practitioner • Salisbury, NC

Professional Overview & Biography Verified Profile Summary

Kina Jackson, AGNP is a registered healthcare professional specializing in Nurse Practitioner in Salisbury, NC. Practice services are available at 1904 JAKE ALEXANDER BLVD W STE 301 under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, hemoglobin a1c level, continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1904 Jake Alexander Blvd W Ste 301

Salisbury, NC 281471177

Telephone 3367187500
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Salisbury, NC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.2 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
43 Specialists

Practicing in Salisbury, NC (4565 Statewide)

Telehealth Adoption Rate
14.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
68.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
48 24 $187.38 $72.58
83036 Hemoglobin A1C level
31 23 $53.00 $9.52
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report
22 14 $103.00 $28.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
14 13 $291.00 $102.94
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
13 13 $614.00 $177.27

Medical Specialties & State Licenses

CMS Verified: 2023-11-08
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License NC 5009255

(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.

Nurse Practitioner - Primary Care

NUCC Taxonomy Code: 363LP2300X

State License NC 208785

Definition to come...

Secondary Practice Locations

1601 Brenner Ave

Salisbury, NC 281442515

Phone: 7046389000

4610 Country Club Rd

Winston Salem, NC 271043520

Phone: 3367162255

1400 Westgate Center Dr Ste 130

Winston Salem, NC 271033104

Phone: 3367187500

Practice Associates & Co-Workers

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

3 Associated Practitioners
Wanda Rushton , FNP-C

Nurse Practitioner

NPI 1144242256

Family Nurse Practitioner (Certified)

Selby Rouch , PA-C

Physician Assistant

NPI 1376005942

Physician Assistant (Certified)

Liliana Pitu , NP-C

Nurse Practitioner

NPI 1942779475

Nurse Practitioner (Certified)

Career & Practice History Timeline

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

19 Historical Events
📍
Updated Practice Location November 08, 2023

Registered at 1904 JAKE ALEXANDER BLVD W STE 301, SALISBURY, NC 281471177 (Tel: 3367187500)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 08, 2023

Nurse Practitioner (License #5009255 in NC)

📍
Updated Practice Location January 09, 2023

Registered at 1400 WESTGATE CENTER DR STE 130, WINSTON SALEM, NC 271033104 (Tel: 3367187500)

📍
Updated Business Mailing Address January 09, 2023

Registered at PO BOX 60447, CHARLOTTE, NC 282600447

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 09, 2023

Nurse Practitioner (License #208785 in NC)

📍
Updated Practice Location August 13, 2020

Registered at 4610 COUNTRY CLUB RD, WINSTON SALEM, NC 271043520 (Tel: 3367162255)

👤
Provider Name / Credentials Updated August 13, 2020

Recorded as KINA JACKSON, AGNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 13, 2020

Nurse Practitioner (License #5009255 in NC)

NPI Profile Active March 15, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 15, 2017

Registered at 1601 BRENNER AVE, SALISBURY, NC 281442515 (Tel: 7046389000)

📍
Updated Business Mailing Address March 15, 2017

Registered at 1601 BRENNER AVE, SALISBURY, NC 281442515 (Tel: 7046389000)

👤
Provider Name / Credentials Updated March 15, 2017

Recorded as KINA JACKSON, APRN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 15, 2017

Nurse Practitioner (License #208785 in NC)

NPI Profile Active January 21, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location January 21, 2017

Registered at 106 STONE LION DR, DURHAM, NC 277036100 (Tel: 9197970868)

📍
Updated Business Mailing Address January 21, 2017

Registered at 106 STONE LION DR, DURHAM, NC 277036100

👤
Provider Name / Credentials Updated January 21, 2017

Recorded as KINA JACKSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 21, 2017

Nurse Practitioner (License #208785 in NC)

🟢
Initial NPI Registration & Enumeration January 21, 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: 1649717232
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 21, 2017
Last Update: November 08, 2023
Sole Proprietor: No

Mailing Address

Po Box 60447

Charlotte, NC 282600447

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.