LINSEY JACKMAN (PHYSICIAN ASSISTANT) – Physician Assistant, NPI 1053788901
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,303 PHYSICIAN ASSISTANT in KS
Provider Addresses for LINSEY JACKMAN (PHYSICIAN ASSISTANT)
604 Union St
Coffeyville, KS 673376020
Phone: (620) 251-4300
Fax: (620) 251-4979
Type: Location
PO BOX 946
CHANUTE, KS 667200946
Phone: (620) 431-2500
Fax: (620) 431-4418
Type: Mailing
505 S PLUMMER AVE
CHANUTE, KS 66720
Phone: (620) 431-2500
Fax: (620) 431-4418
Type: Location
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 $19.
Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.
Last reported payment date: 2023-04-24 • Largest payer in this snapshot: PFIZER INC. ($19).
Total Amount
$19
General + Research + Ownership
Payments
1
Total payment records
General Amount
$19
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-04-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $19 |
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: 2015-10-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20151006001788 | I | Physician Assistant | KS | TBD |
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.
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 67337)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | KS | |
| Physician Assistant | KS | |
| - | KS | |
| Nurse Practitioner | KS | |
| Physician Assistant | KS | |
| Physician Assistant | KS | |
| Physician Assistant | KS | |
| Physician Assistant | KS | |
| Physician Assistant | KS | |
| Internal Medicine, Pediatric Medicine, Internal Medicine, Emergency Medicine | OK |
Reviews
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