MR. KRISTOPHER JACKSON (MSN, CRNP) – Acute Care Nurse Practitioner, NPI 1437589827
Acute Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,971 NURSE PRACTITIONER in MA
Provider Addresses for MR. KRISTOPHER JACKSON (MSN, CRNP)
55 FOGG RD
WEYMOUTH, MA 021902455
Phone:
Type: Mailing
110 WILLOW ST
NEW BEDFORD, MA 02740
Phone: (603) 781-0155
Type: Location
3400 SPRUCE ST
3 RAVDIN BLDG. STE. F
PHILADELPHIA, PA 191044238
Phone: (215) 349-3202
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $350.
Total Amount is formed as General ($350) + Research ($0) + Ownership ($0) = $350.
Last reported payment date: 2024-09-24 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($149).
Total Amount
$350
General + Research + Ownership
Payments
3
Total payment records
General Amount
$350
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novartis Pharmaceuticals Corporation | $149 |
| Tempus AI, Inc | $125 |
| Gilead Sciences, Inc. | $76 |
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: 2025-01-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20160504001757 | I | Nurse Practitioner | CA | TBD |
| I20250107003484 | I | Nurse Practitioner | MA | 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 02190)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MA | |
| Nurse Practitioner | MA | |
| Nurse Practitioner | MA | |
| Nurse Practitioner | MA | |
| Nurse Practitioner | RI | |
| Internal Medicine | MA | |
| Nurse Practitioner | MA |
Reviews
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