KAROLYN S JACKSON (PA-C) – Physician Assistant, NPI 1427664192

KAROLYN S JACKSON (PA-C) is a healthcare provider. based in Prescott, Arizona. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 8198 (AZ). The NPI Number for KAROLYN S JACKSON (PA-C) is 1427664192

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
KAROLYN S JACKSON (PA-C)
NPI
1427664192
Phone
(928) 777-9600
Address
743 MILLER VALLEY RD
Enumeration Date
18 September 2020
Last Update Date
14 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6238770100
Graduation Year
2020 (6 years ago)
PAC ID
0941611651
Group Practice PAC ID
4385940295
Professional Enrollment ID
I20201202001288
Address ID
AZ853458390PE8914XAVEX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:5State licenses:1Digital endpointsOther names

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

Loading prescription activity...

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20201202001288IPhysician AssistantAZTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99491Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month2,6452,368$0
View full utilization report →

Insurance plans in this area (ZIP 86301)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4385940295View full group profile
NameSpecialtyState
Nurse PractitionerAZ
Physician AssistantAZ
Nurse PractitionerAZ
Physician AssistantAZ
Physician AssistantAZ
Physician AssistantAZ
Nurse PractitionerAZ
Family PracticeAZ
Internal MedicineFL
Physician AssistantAZ

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the standard ID for KAROLYN S JACKSON (PA-C) in the U.S.?
In the U.S., KAROLYN S JACKSON (PA-C) is identified by NPI 1427664192.
Should I treat KAROLYN S JACKSON (PA-C) as an active provider?
Patients and plans typically see KAROLYN S JACKSON (PA-C) as active in the national extract.
Which specialty label fits KAROLYN S JACKSON (PA-C)?
NPPES ties KAROLYN S JACKSON (PA-C) to Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to KAROLYN S JACKSON (PA-C)?
KAROLYN S JACKSON (PA-C) shows a connection to Prescott, Arizona in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

Similar Providers

MARK A THIELE (PA-C)

Physician Assistant
Willow Creek Road, Miller Valley, Prescott, Yavapai County, Arizona, 86301S, United States
NPI: 1992708523

JOHN ARTHUR BUCKMAN (PA)

Physician Assistant
PO BOX 10880
NPI: 1407851132
3120, Clearwater Drive, Prescott, Yavapai County, Arizona, 86305, United States
NPI: 1609862275
MEDICAL SERVICES OF PRESCOTT
NPI: 1952387813

PENNY A VANPATTEN (PA-C)

Physician Assistant
3655 Crossings Dr
NPI: 1871573808

SHERI L WAGES CORNELL (PA-C)

Medical Physician Assistant
PO BOX 910221
NPI: 1760457345

KIMBERLEY J. SCOTT (PA)

Medical Physician Assistant
PO BOX 10880
NPI: 1386613883
11301 N T QUARTER CIR
NPI: 1821050196

DAWN D LAGARY (PA-C)

Physician Assistant
3078 PEDREGAL DR
NPI: 1518917327