JOHN III JACKSON (DO) – Family Medicine Physician, NPI 1992850036
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
953 FAMILY PRACTICE in NE
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Provider Addresses for JOHN III JACKSON (DO)
CHI Health Clinic, 1721, Colfax Street, Lonnies Trailer Court, Schuyler, Colfax County, Nebraska, 68661, United States
SCHUYLER, NE 686611400
Phone: (402) 352-3745
Type: Location
7261, Mercy Road, Omaha, Douglas County, Nebraska, 68124, United States
OMAHA, NE 681242311
Phone:
Type: Mailing
310 E Walnut St
Garden City, KS 678465572
Phone: (620) 275-9752
Type: Location
94244 Fourth Street
Gold Beach, OR 974447756
Phone: (541) 247-3509
Fax: (541) 247-3530
Type: Location
1721 Colfax St
Schuyler, NE 686611400
Phone: (402) 352-3745
Type: Location
1836 SOUTH AVE
LA CROSSE, WI 546015429
Phone: (608) 782-7300
Type: Mailing
505 GOPHER DR
TOMAH, WI 546604513
Phone: (608) 372-4111
Type: Location
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 $62.
Total Amount is formed as General ($62) + Research ($0) + Ownership ($0) = $62.
Last reported payment date: 2023-08-31 • Largest payer in this snapshot: Aurinia Pharma U.S., Inc. ($40).
Total Amount
$62
General + Research + Ownership
Payments
3
Total payment records
General Amount
$62
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Aurinia Pharma U.S., Inc. | $40 |
| Amgen Inc. | $22 |
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: 2025-12-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20250206000470 | I | Family Practice | MS | TBD |
| I20250703003189 | I | Family Practice | IA | TBD |
| I20251226002179 | I | Family Practice | WI | 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 68661)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice, Hospice/Palliative Care, Geriatric Medicine | WI | |
| - | WI | |
| - | WI | |
| - | WI | |
| - | WI | |
| Oral Surgery | WI | |
| Family Practice | WI | |
| - | WI | |
| - | WI | |
| Diagnostic Radiology | WI |
Reviews
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