CHRISTOPHER JACKSON (APRN) – Family Nurse Practitioner, NPI 1801494729

CHRISTOPHER JACKSON (APRN) is a healthcare provider. based in Booneville, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 3014974 (KY). The NPI Number for CHRISTOPHER JACKSON (APRN) is 1801494729

Main info

Male
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTOPHER JACKSON (APRN)
NPI
1801494729
Phone
Not provided
Address
8482 HIGHWAY 315
Enumeration Date
13 October 2020
Last Update Date
2 November 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6068245037
Graduation Year
2020 (6 years ago)
PAC ID
0042628240
Group Practice PAC ID
0547691289
Professional Enrollment ID
I20210427001901
Address ID
KY413390709JA1550XSXXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

7,347 NURSE PRACTITIONER in KY

Provider Addresses for CHRISTOPHER JACKSON (APRN)

  • 8482 HIGHWAY 315

    BOONEVILLE, KY 413149016

    Phone:

    Type: Mailing

  • 1550 HIGHWAY 15 S STE 200

    JACKSON, KY 413390714

    Phone: (606) 666-8404

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $140.

Total Amount is formed as General ($140) + Research ($0) + Ownership ($0) = $140.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Indivior Inc. ($140).

Total Amount

$140

General + Research + Ownership

Payments

8

Total payment records

General Amount

$140

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Indivior Inc.$140
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: 2021-04-27

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
I20210427001901INurse PractitionerKYTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes89648$0
G0483Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms54050$0
80307Testing for presence of drug, by chemistry analyzers43334$0
90833Psychotherapy with evaluation and management visit, 30 minutes14231$0
View full utilization report →

Insurance plans in this area (ZIP 41314)

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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: 0547691289View full group profile
NameSpecialtyState
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY
Internal Medicine, Critical Care (Intensivists), Pulmonary DiseaseKY
Nurse PractitionerMI
Nurse PractitionerKY
Nurse PractitionerKY

Reviews

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Frequently asked questions

What number should I use to identify CHRISTOPHER JACKSON (APRN) for billing?
Administrative and clinical systems typically use NPI 1801494729 for CHRISTOPHER JACKSON (APRN).
Should I treat CHRISTOPHER JACKSON (APRN) as an active provider?
Patients and plans typically see CHRISTOPHER JACKSON (APRN) as active in the national extract.
What services align with CHRISTOPHER JACKSON (APRN)'s listing?
CHRISTOPHER JACKSON (APRN)'s public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to CHRISTOPHER JACKSON (APRN)?
CHRISTOPHER JACKSON (APRN) shows a connection to Booneville, Kentucky in registry-derived data.
Who maintains CHRISTOPHER JACKSON (APRN)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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