MRS. KAREN JACKSON (CRNP) – Acute Care Nurse Practitioner, NPI 1124274774

MRS. KAREN JACKSON (CRNP) is a healthcare provider. based in Pensacola, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. APRN9287293 (FL). The NPI Number for MRS. KAREN JACKSON (CRNP) is 1124274774

Main info

Female
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KAREN JACKSON (CRNP)
NPI
1124274774
Phone
(850) 290-8410
Address
45 INDUSTRIAL BLVD STE C
Enumeration Date
14 August 2008
Last Update Date
16 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2515333509
Graduation Year
2007 (19 years ago)
PAC ID
9638246903
Group Practice PAC ID
5799031969
Professional Enrollment ID
I20090520000632
Address ID
FL325037668PE45XXXBLVD301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:17State licenses:3Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for MRS. KAREN JACKSON (CRNP)

  • 45 INDUSTRIAL BLVD STE C

    PENSACOLA, FL 325037668

    Phone: (850) 290-8410

    Fax: (866) 574-6391

    Type: Location

  • Nicole Place, Daphne, Baldwin County, Alabama, 36527, United States

    DAPHNE, AL 365267614

    Phone: (251) 533-6372

    Fax: (866) 282-4895

    Type: Location

  • 107 Nicole Pl

    Daphne, AL 365267614

    Phone: (251) 533-6372

    Fax: (866) 282-4895

    Type: Location

  • 5113 N DAVIS HWY STE 1

    PENSACOLA, FL 325032035

    Phone: (850) 290-8410

    Fax: (866) 574-6391

    Type: Location

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: 2009-05-20

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
I20090520000632INurse PractitionerFLTBD

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
99489Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month7,724631$0
99487Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month2,508677$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month2,312661$0
99439Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month2,245570$0
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes4439$0
View full utilization report →

Insurance plans in this area (ZIP 32503)

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: 5799031969View full group profile
NameSpecialtyState
Nurse PractitionerFL
-TN
Nurse PractitionerFL
-FL
Nurse PractitionerFL
Hospice/Palliative Care, Internal MedicineFL
Nurse PractitionerFL
Nurse PractitionerWI
Physician AssistantFL
Nurse PractitionerFL

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 registry number for MRS. KAREN JACKSON (CRNP)?
The registry entry for MRS. KAREN JACKSON (CRNP) shows NPI 1124274774.
Should I treat MRS. KAREN JACKSON (CRNP) as an active provider?
Patients and plans typically see MRS. KAREN JACKSON (CRNP) as active in the national extract.
Which specialty label fits MRS. KAREN JACKSON (CRNP)?
NPPES ties MRS. KAREN JACKSON (CRNP) to Acute Care Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MRS. KAREN JACKSON (CRNP)?
MRS. KAREN JACKSON (CRNP) is associated with Pensacola, Florida in the same public data insurers reference.
Can I export MRS. KAREN JACKSON (CRNP)'s record?
You can download the official NPPES record; we summarize key fields for readability.