KRISTINE JACKSON (FNP) – Family Nurse Practitioner, NPI 1467690487

KRISTINE JACKSON (FNP) is a healthcare provider. based in Middletown, Delaware. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. LG-000450 (DE). The NPI Number for KRISTINE JACKSON (FNP) is 1467690487

Main info

Female
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
KRISTINE JACKSON (FNP)
NPI
1467690487
Phone
(203) 378-4779
Address
114 SANDHILL DR
Enumeration Date
29 January 2009
Last Update Date
4 March 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3026230188
Graduation Year
2005 (21 years ago)
PAC ID
7719122670
Group Practice PAC ID
9739097569
Professional Enrollment ID
I20130325000146
Address ID
DE197182200NE4755XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

1,274 NURSE PRACTITIONER in DE

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Provider Addresses for KRISTINE JACKSON (FNP)

  • 114, Sandhill Drive, Middletown, New Castle County, Delaware, 19709, United States

    SUITE 101

    MIDDLETOWN, DE 197095805

    Phone: (203) 378-4779

    Fax: (302) 378-3789

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $598.

Total Amount is formed as General ($598) + Research ($0) + Ownership ($0) = $598.

Last reported payment date: 2024-10-10 • Largest payer in this snapshot: ABBVIE INC. ($242).

Total Amount

$598

General + Research + Ownership

Payments

7

Total payment records

General Amount

$598

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2013-03-25

PECOS data refreshed: 2026-05-27

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
I20130325000146INurse PractitionerDETBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes6361$0
99239Hospital discharge day management, more than 30 minutes5151$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes4039$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes3636$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2525$0
View full utilization report →

Insurance plans in this area (ZIP 19709)

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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: 9739097569View full group profile

Reviews

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Frequently asked questions

Is KRISTINE JACKSON (FNP) listed with a National Provider Identifier?
Yes — KRISTINE JACKSON (FNP) has NPI 1467690487 on file in the registry.
Is KRISTINE JACKSON (FNP) still an active registrant?
KRISTINE JACKSON (FNP) carries an active NPI according to the public dataset.
What kind of doctor is KRISTINE JACKSON (FNP)?
KRISTINE JACKSON (FNP) is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Where in Delaware is KRISTINE JACKSON (FNP) registered?
Use Middletown, Delaware as the headline location for KRISTINE JACKSON (FNP) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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