KAROLYN S JACKSON (PA-C) – Physician Assistant, NPI 1427664192
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,726 PHYSICIAN ASSISTANT in AZ
Provider Addresses for KAROLYN S JACKSON (PA-C)
743 MILLER VALLEY RD
PRESCOTT, AZ 863011813
Phone: (928) 777-9600
Fax: (855) 449-5560
Type: Mailing
3336 E Chandler Heights Rd Ste 132
Gilbert, AZ 852984264
Phone: (480) 988-4645
Fax: (480) 988-4745
Type: Location
12361 W Bola Dr
Surprise, AZ 853789021
Phone: (623) 227-1000
Fax: (623) 227-2000
Type: Location
4967 N PLACITA BORBOA
TUCSON, AZ 857494801
Phone: (520) 749-1137
Type: Mailing
6567 E CARONDELET DR STE 305
TUCSON, AZ 857106160
Phone: (520) 881-8400
Type: Location
309 Lake Havasu Ave S
Lake Havasu City, AZ 864039309
Phone: (928) 453-1970
Fax: (855) 538-3082
Type: Location
26224 N Tatum Blvd Ste 15A
Phoenix, AZ 850507500
Phone: (480) 663-9632
Fax: (623) 748-1914
Type: Location
5902 E Pima St
Tucson, AZ 857124322
Phone: (520) 886-5315
Fax: (877) 209-7377
Type: Location
3015 AZ-95
Bullhead City, AZ 86442
Phone: (928) 763-2001
Fax: (928) 763-2038
Type: Location
3931 N Stockton Hill Rd
Kingman, AZ 864092426
Phone: (928) 385-7100
Fax: (855) 538-3114
Type: Location
2501 N Stockton Hill Rd Ste 108
Kingman, AZ 864014140
Phone: (928) 255-5050
Fax: (888) 571-5897
Type: Location
12075 E AZ 69
Dewey, AZ 86327
Phone: (928) 772-1673
Fax: (928) 772-1674
Type: Location
2035 Mesquite Ave
Lake Havasu City, AZ 864035894
Phone: (928) 208-4598
Fax: (888) 571-6436
Type: Location
2500 Canyon Rd Ste A1
Bullhead City, AZ 864428492
Phone: (928) 704-4499
Fax: (928) 704-4949
Type: Location
1300 S 20th Ave
Safford, AZ 855463301
Phone: (928) 428-3122
Fax: (928) 428-7917
Type: Location
285 N Broad St
Globe, AZ 855012503
Phone: (928) 425-8200
Fax: (928) 425-8406
Type: Location
9171 W Thunderbird Rd Ste 101
Peoria, AZ 853814872
Phone: (623) 877-0100
Fax: (623) 328-8713
Type: Location
4135 S Power Rd Ste 129
Mesa, AZ 852123627
Phone: (480) 751-3091
Fax: (480) 751-3095
Type: Location
560 N Camino Mercado Ste 7
Casa Grande, AZ 851225759
Phone: (520) 836-5538
Fax: (844) 722-0049
Type: Location
725 W Elliot Rd Bldg 3
Gilbert, AZ 852335301
Phone: (480) 963-6144
Fax: (480) 899-1404
Type: Location
16928 W Bell Rd Ste 701
Surprise, AZ 853748948
Phone: (623) 850-0026
Fax: (623) 850-0027
Type: Location
2171 W Orange Grove Rd
Tucson, AZ 857413118
Phone: (520) 297-3907
Fax: (520) 989-3486
Type: Location
286 S Lenzner Ave
Sierra Vista, AZ 856355685
Phone: (520) 452-0388
Fax: (877) 281-8622
Type: Location
3251 N Windsong Dr
Prescott Valley, AZ 863141222
Phone: (928) 772-2582
Fax: (877) 319-1729
Type: Location
1620 E Wilcox Dr
Sierra Vista, AZ 856352778
Phone: (520) 459-0362
Fax: (520) 458-1585
Type: Location
450 S Willard St
Cottonwood, AZ 863266743
Phone: (928) 634-9573
Fax: (928) 634-0135
Type: Location
4365 E Pecos Rd Ste 134
Gilbert, AZ 852958053
Phone: (480) 840-9155
Fax: (480) 840-9320
Type: Location
21321 E Ocotillo Rd
Queen Creek, AZ 851425996
Phone: (480) 987-5525
Fax: (480) 987-5115
Type: Location
18275 N 59th Ave Ste 138
Glendale, AZ 853081253
Phone: (602) 564-0078
Fax: (602) 564-1154
Type: Location
7725 N 43rd Ave Ste 510
Phoenix, AZ 850515771
Phone: (623) 207-5465
Fax: (623) 207-5405
Type: Location
3552 W Baseline Rd Ste 140
Laveen, AZ 853393042
Phone: (602) 635-6951
Fax: (602) 635-6952
Type: Location
5981 E GRANT RD STE 115
TUCSON, AZ 857122363
Phone: (520) 886-5315
Fax: (877) 209-7377
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-12-02
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20201202001288 | I | Physician Assistant | AZ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99491 | Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month | 2,645 | 2,368 | $0 |
Insurance plans in this area (ZIP 86301)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AZ | |
| Physician Assistant | AZ | |
| Nurse Practitioner | AZ | |
| Physician Assistant | AZ | |
| Physician Assistant | AZ | |
| Physician Assistant | AZ | |
| Nurse Practitioner | AZ | |
| Family Practice | AZ | |
| Internal Medicine | FL | |
| Physician Assistant | AZ |
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