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Active NPI 1215612031 Individual Practitioner Female Practitioner

Catherine Alisa Jackson

Nurse Practitioner - Gerontology • Kettering, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Catherine Jackson is a certified Nurse Practitioner - Gerontology practicing in Kettering, OH. With approximately 4 years of clinical experience since completing medical education in 2022, Catherine Jackson delivers high-quality medical care to the local community at 3535 SOUTHERN BLVD.

Catherine Jackson maintains professional affiliations with Namchi Le Md Llc, Wound Care Consultants Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, 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

3535 Southern Blvd

Kettering, OH 454291221

Telephone 9372984331
Associated Practice Facility / Clinic
🏢 Kettering Physiatrists, Inc. Facility NPI 1902893035

Medicare Profile & Education

Medical School

Other

Graduation Year

2022

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Gerontology in Kettering, OH

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -4.3 yrs vs City Avg
City Avg: 8.3 Yrs
State Avg: 7.7 Yrs
Regional Practice Density
7 Specialists

Practicing in Kettering, OH (529 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
69.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jackson (4 Years) 4 Yrs
Kettering Specialty Average (8.3 Years) 8.3 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
14 11 $175.00 $63.70
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
12 12 $486.00 $139.92

Medical Specialties & State Licenses

CMS Verified: 2024-01-25
Nurse Practitioner - Gerontology Primary Specialty

NUCC Taxonomy Code: 363LG0600X

State License OH APRN.CNP.0034084

Definition to come...

Hospital & Practice Group Affiliations

Wound Care Consultants Llc

6789 Ridge Rd, Parma, OH 441295635

Phone: 4404918334

Namchi Le Md Llc

1 Wyoming St, Dayton, OH 454092722

Phone: 7272029388

Practice Associates & Co-Workers

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

40 Associated Practitioners
Joan Koble , CRNFA

Registered Nurse - Registered Nurse First Assistant

NPI 1023245255
Dr. Muhammad Rishi , MD

Surgery - Vascular Surgery

NPI 1063655165

Doctor of Medicine (M.D.)

Joseph Daku

Physician Assistant

NPI 1083538995
NPI 1104357474

Doctor of Medicine (M.D.)

Dr. Ella Kundu , MD

Radiology - Diagnostic Radiology

NPI 1194713255

Doctor of Medicine (M.D.)

Marjorie Mahle , RN, CNP

Nurse Practitioner - Acute Care

NPI 1205980653

Registered Nurse, Certified Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 19, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location June 19, 2023

Registered at 3535 SOUTHERN BLVD, KETTERING, OH 454291221 (Tel: 9372984331)

📍
Updated Business Mailing Address June 19, 2023

Registered at 3535 SOUTHERN BLVD, KETTERING, OH 454291221 (Tel: 9372984331)

👤
Provider Name / Credentials Updated June 19, 2023

Recorded as CATHERINE JACKSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 19, 2023

Nurse Practitioner (License #APRN.CNP.0034084 in OH)

🟢
Initial NPI Registration & Enumeration June 19, 2023

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: 1215612031
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 19, 2023
Last Update: January 25, 2024
Sole Proprietor: No

Mailing Address

3535 Southern Blvd

Kettering, OH 454291221

Phone: 9372984331

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.