MR. JAMES RICHARD JACKSON (PA-C) – Physician Assistant, NPI 1871648253

MR. JAMES RICHARD JACKSON (PA-C) is a healthcare provider. based in Corpus christi, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA04123 (TX). The NPI Number for MR. JAMES RICHARD JACKSON (PA-C) is 1871648253

Main info

Male
Sole Proprietor
23 Years Of Experience
Accepts Medicare Assignment
Name
MR. JAMES RICHARD JACKSON (PA-C)
NPI
1871648253
Phone
(361) 445-3969
Address
3403 S PADRE ISLAND DR STE 301
Enumeration Date
24 January 2007
Last Update Date
21 October 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3614445255
Graduation Year
2003 (23 years ago)
PAC ID
2961454160
Group Practice PAC ID
2860885282
Professional Enrollment ID
I20050216000350
Address ID
TX784132952CO6000XSTXX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for MR. JAMES RICHARD JACKSON (PA-C)

  • 3403 S PADRE ISLAND DR STE 301

    CORPUS CHRISTI, TX 784152925

    Phone: (361) 445-3969

    Fax: (361) 445-3970

    Type: Location

  • Leopard Street, Marina Arts District, Downtown, Corpus Christi, Nueces County, Texas, 78401, United States

    CORPUS CHRISTI, TX 78410

    Phone: (361) 241-2722

    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 $360.

Total Amount is formed as General ($360) + Research ($0) + Ownership ($0) = $360.

Last reported payment date: 2024-10-29 • Largest payer in this snapshot: ABBVIE INC. ($238).

Total Amount

$360

General + Research + Ownership

Payments

26

Total payment records

General Amount

$360

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-29

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2005-02-16

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
I20050216000350IPhysician AssistantTXTBD

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
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes1,252238$0
99214Established patient office or other outpatient visit, 30-39 minutes17975$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes10319$0
90792Psychiatric diagnostic evaluation with medical services5050$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes5017$0
View full utilization report →

Insurance plans in this area (ZIP 78415)

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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: 2860885282View full group profile
NameSpecialtyState
Nurse PractitionerTX
Psychiatry, Geriatric PsychiatryTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
P S Y C H I A T R YTX
Marriage And Family TherapistTX

Reviews

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Frequently asked questions

Does MR. JAMES RICHARD JACKSON (PA-C) have a public NPI I can cite?
Public records show MR. JAMES RICHARD JACKSON (PA-C) under NPI 1871648253.
Is MR. JAMES RICHARD JACKSON (PA-C)'s NPI status active today?
Active status means MR. JAMES RICHARD JACKSON (PA-C)'s NPI record is not deactivated in the public file.
Which specialty label fits MR. JAMES RICHARD JACKSON (PA-C)?
NPPES ties MR. JAMES RICHARD JACKSON (PA-C) to Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is MR. JAMES RICHARD JACKSON (PA-C) tied to Corpus Christi, Texas?
If you are local to Corpus Christi, Texas, MR. JAMES RICHARD JACKSON (PA-C) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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