MR. CHRISTOPHER M JACKSON (FNP-BC) – Family Nurse Practitioner, NPI 1093285496
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,105 NURSE PRACTITIONER in MI
Provider Addresses for MR. CHRISTOPHER M JACKSON (FNP-BC)
204 Pine St
Corunna, MI 488171031
Phone: (810) 449-0566
Type: Location
Kensington Avenue, Flint, Genesee County, Michigan, 48503, United States
FLINT, MI 485032044
Phone: (810) 762-8400
Type: Location
204, Pine Street, Corunna, Caledonia Township, Shiawassee County, Michigan, 48817, United States
CORUNNA, MI 488171031
Phone: (810) 449-0566
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 26 Open Payments records for all available years, with a total value of $604.
Total Amount is formed as General ($604) + Research ($0) + Ownership ($0) = $604.
Last reported payment date: 2024-11-11 • Largest payer in this snapshot: Astellas Pharma US Inc ($124).
Total Amount
$604
General + Research + Ownership
Payments
26
Total payment records
General Amount
$604
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Astellas Pharma US Inc | $124 |
| AstraZeneca Pharmaceuticals LP | $100 |
| Novartis Pharmaceuticals Corporation | $61 |
| Eisai Inc. | $43 |
| Janssen Biotech, Inc. | $41 |
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: 2020-02-06
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 |
|---|---|---|---|---|
| I20200206000732 | I | Nurse Practitioner | MI | 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 48817)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MI | |
| Medical Oncology | MI | |
| Hematology/Oncology, Internal Medicine | MI | |
| Physician Assistant | MI | |
| - | MI | |
| - | MI | |
| - | MI | |
| - | MI | |
| Physician Assistant | MI | |
| H E M A T O L O G Y/ O N C O L O G Y | MI |
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