JILL KIMBERLY JACKSON (MD) – Emergency Medicine Physician, NPI 1508183617

JILL KIMBERLY JACKSON (MD) is a healthcare provider. based in Vero beach, Florida. specializing in Emergency Medicine Physician. They hold the professional credentials MD. They hold a License No. 269804 (NY). The NPI Number for JILL KIMBERLY JACKSON (MD) is 1508183617

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
JILL KIMBERLY JACKSON (MD)
NPI
1508183617
Phone
(703) 577-1002
Address
1435 WYN COVE DR
Enumeration Date
28 April 2010
Last Update Date
11 February 2016

Doctor Profile

Medical School Name
UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Secondary Phone
7725674311
Graduation Year
2010 (16 years ago)
PAC ID
4880828516
Group Practice PAC ID
3678833951
Professional Enrollment ID
I20141104002195
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:16State licenses:2Digital endpointsOther names

Provider Addresses for JILL KIMBERLY JACKSON (MD)

  • 1435 WYN COVE DR

    VERO BEACH, FL 329632558

    Phone: (703) 577-1002

    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 $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2023-07-08 • Largest payer in this snapshot: Medline Industries LP ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-08

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Medline Industries LP$17
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.

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32963)

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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: 3678833951View full group profile

Reviews

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Frequently asked questions

What is the registry number for JILL KIMBERLY JACKSON (MD)?
The registry entry for JILL KIMBERLY JACKSON (MD) shows NPI 1508183617.
Quick check: is JILL KIMBERLY JACKSON (MD) active?
Public NPPES data shows JILL KIMBERLY JACKSON (MD) with an active NPI status right now.
Which specialty label fits JILL KIMBERLY JACKSON (MD)?
NPPES ties JILL KIMBERLY JACKSON (MD) to Emergency Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit JILL KIMBERLY JACKSON (MD) in Vero Beach, Florida?
For routing, start with Vero Beach, Florida for JILL KIMBERLY JACKSON (MD), then verify phone and hours locally.
Why is information missing for JILL KIMBERLY JACKSON (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.