MRS. KACI LYNN JACKSON (ARNP) – Acute Care Nurse Practitioner, NPI 1144405937
Acute Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,299 NURSE PRACTITIONER in OK
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Provider Addresses for MRS. KACI LYNN JACKSON (ARNP)
East 91st Street, Tulsa, Tulsa County, Oklahoma, 74012, United States
STE 208
TULSA, OK 74133
Phone: (918) 494-8500
Type: Location
6600, South Yale Avenue, Southridge Estates, Tulsa, Tulsa County, Oklahoma, 74137, United States
SUITE 1400
TULSA, OK 741363347
Phone: (918) 488-6001
Type: Mailing
10505 E 91st St
Ste 208
Tulsa, OK 74133
Phone: (918) 494-8500
Type: Location
6600 S YALE AVE STE 1400
TULSA, OK 741363331
Phone:
Type: Mailing
6151 S YALE AVE STE 100A
TULSA, OK 741361929
Phone: (918) 494-8500
Fax: (918) 307-5578
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 91 Open Payments records for all available years, with a total value of $2,734.
Total Amount is formed as General ($2,734) + Research ($0) + Ownership ($0) = $2,734.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Medtronic, Inc. ($1,089).
Total Amount
$2,734
General + Research + Ownership
Payments
91
Total payment records
General Amount
$2,734
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $1,089 |
| Novartis Pharmaceuticals Corporation | $516 |
| ATRICURE, INC. | $207 |
| ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | $125 |
| Abbott Laboratories | $105 |
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: 2009-07-29
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 |
|---|---|---|---|---|
| I20090729000693 | I | Nurse Practitioner | OK | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 189 | 152 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 63 | 60 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 37 | 35 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 36 | 34 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 18 | 18 | $0 |
Insurance plans in this area (ZIP 74133)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OK | |
| Physician Assistant | OK | |
| Physician Assistant | OK | |
| Nurse Practitioner | OK | |
| - | OK | |
| - | OK | |
| Nurse Practitioner | OK | |
| P O D I A T R Y | OK | |
| Pediatric Medicine | OK | |
| - | OK |
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