PAIGE ROTON JACKSON (N.P.) – Nurse Practitioner, NPI 1124386636

PAIGE ROTON JACKSON (N.P.) is a healthcare provider. based in Pensacola, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials N.P.. They hold a License No. APRN9442755 (FL). The NPI Number for PAIGE ROTON JACKSON (N.P.) is 1124386636

Main info

Female
41 Years Of Experience
Accepts Medicare Assignment
Name
PAIGE ROTON JACKSON (N.P.)
NPI
1124386636
Phone
(850) 484-6500
Address
1717 N E ST STE 331
Enumeration Date
3 May 2012
Last Update Date
5 March 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8503164882
Graduation Year
1985 (41 years ago)
PAC ID
6204083538
Group Practice PAC ID
9234674375
Professional Enrollment ID
I20161219001105
Address ID
FL32504XXXXPEXXXXXXXXXX00
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:14State licenses:2Digital endpointsOther names

24,243 NURSE PRACTITIONER in FL

Provider Addresses for PAIGE ROTON JACKSON (N.P.)

  • 1717 N E ST STE 331

    PENSACOLA, FL 325016335

    Phone: (850) 484-6500

    Fax: (850) 444-1755

    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 1 Open Payments records for all available years, with a total value of $104.

Total Amount is formed as General ($104) + Research ($0) + Ownership ($0) = $104.

Last reported payment date: 2024-06-24 • Largest payer in this snapshot: Lexicon Pharmaceuticals, Inc. ($104).

Total Amount

$104

General + Research + Ownership

Payments

1

Total payment records

General Amount

$104

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-24

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: 2016-12-19

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
I20161219001105INurse 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
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes22030$0
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes11126$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes2215$0
View full utilization report →

Insurance plans in this area (ZIP 32501)

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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: 9234674375View full group profile
NameSpecialtyState
Nurse PractitionerGA
Nurse PractitionerCA
Nurse PractitionerFL
Nurse PractitionerWY
Nurse PractitionerOH
Nurse PractitionerFL

Reviews

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Frequently asked questions

What is the 10-digit NPI for PAIGE ROTON JACKSON (N.P.)?
PAIGE ROTON JACKSON (N.P.) — NPI 1124386636 — is the standard way to identify this listing.
Is PAIGE ROTON JACKSON (N.P.) listed as active for patients and plans?
The listing shows PAIGE ROTON JACKSON (N.P.) as active in the NPI system.
What healthcare role does PAIGE ROTON JACKSON (N.P.) hold?
Scheduling teams often label PAIGE ROTON JACKSON (N.P.) under Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does PAIGE ROTON JACKSON (N.P.) serve?
PAIGE ROTON JACKSON (N.P.)'s listing highlights Pensacola, Florida; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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