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Kristen Jackson

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NPI Number Detailed Information

Provider Information:

Name: Kristen Jackson
Gender: F
Provider License Number If Given: 41412141

NPI Information:

NPI: 1316465347
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 8/30/2017

Last Update Date: 7/7/2021

Provider Business Mailing Address:

Address: 180 S MAIN ST
Canton, IL 61520
Phone Number: 3096470201
Fax Number: 3096478613

Provider Business Practice Location Address:

Address: 1024 N MAGNOLIA ST
Elmwood, IL 61529
Phone Number: 3097426334
Fax Number: 3096496880

Provider Taxonomy:

Primary: 163W00000X
Secondary (if any): 363L00000X
State: IL

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About Kristen Jackson

Kristen Jackson ( KRISTEN JACKSON ) is (1) Registered Nurse Physician in Elmwood, IL. The NPI Number for Kristen Jackson is 1316465347.
The current location address for Kristen Jackson is 1024 N MAGNOLIA ST Elmwood, IL 61529 and the contact number is 3096470201 and fax number is 3096478613. The mailing address for Kristen Jackson is 180 S MAIN ST Canton, IL 61520- 3097426334 (mailing address contact number - 3096470201).
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Provider Business Location on Map

FAQs:

What is the NPI Number for Kristen Jackson ?


Answer: The NPI Number for Kristen Jackson is 1316465347

Where is Kristen Jackson located?


Answer: Kristen Jackson is located at 1024 N MAGNOLIA ST Elmwood, IL 61529.

What is the specialty for Kristen Jackson ?


Answer: The Specialty of Kristen Jackson is (1) Registered Nurse Physician.

Are there any online reviews for Kristen Jackson ?


Answer: Not yet!

Are there any other health care providers in Elmwood, IL?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Kristen Jackson

Number of HCPCS 6
Number of Medicare Beneficiaries 29
Number of Services 60
Total Submitted Charge Amount 7727.93
Total Medicare Allowed Amount 4493.09
Total Medicare Payment Amount 3141.88
Total Medicare Standardized Payment Amount 3676.08
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 0
Number of Medicare Beneficiaries With Drug Services 0
Number of Drug Services 0
Total Drug Submitted Charge Amount 0
Total Drug Medicare Allowed Amount 0
Total Drug Medicare Payment Amount 0
Total Drug Medicare Standardized Payment Amount 0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 6
Number of Medicare Beneficiaries With Medical 29
Number of Medical Services 60
Total Medical Submitted Charge Amount 7727.93
Total Medical Medicare Allowed Amount 4493.09
Total Medical Medicare Payment Amount 3141.88
Total Medical Medicare Standardized Payment Amount 3676.08
Average Age of Beneficiaries 71
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74 15
Number of Beneficiaries Age 75 to 84
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries
Number of Male Beneficiaries
Number of Non-Hispanic White Beneficiaries
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement
Number of Beneficiaries With Medicare Only Entitlement
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia
Percent (%) of Beneficiaries Identified With Asthma 0
Percent (%) of Beneficiaries Identified With Cancer
Percent (%) of Beneficiaries Identified With Heart Failure
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease
Percent (%) of Beneficiaries Identified With Depression
Percent (%) of Beneficiaries Identified With Diabetes
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.45
Percent (%) of Beneficiaries Identified With Hypertension 0.52
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.45
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders 0
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 1.406

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Nurse Practitioner
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 1901
Number of Standardized 30-Day Fills 3272.7333333
Aggregate Cost Paid for All Claims 118948.63
Number of Day's Supply for All Claims 91823
Number of Medicare Beneficiaries 195
Number of Claims, Including Refills, for Beneficiaries Age 65+ 1414
Including Refills, for Beneficiaries Age 65+ 2570.8
Beneficiaries Age 65+ 89866.57
Number of Day's Supply for All Claims for Beneficaries Age 65+ 72639
Number of Medicare Beneficiaries Age 65+ 158
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 257
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 1624
Aggregate Cost Paid for Generic Drugs 28846.47
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 20
Aggregate Cost Paid for Other Drugs 2974.69
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 985
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 71429.19
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 916
Aggregate Cost Paid for Claims Filled by 47519.44
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 700
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 55315.13
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 1201
by Low-Income Subsidy 63633.5
Total Claims of Opioid Drugs, Including 73
Aggregate Cost Paid for Opioid Drugs 951.58
Opioid Claims 18
Opioid_Tot_Clms divided by the Tot_Clms 3.8400841662
Total Claims of Long-Acting Opioid Drugs 0
Aggregate Cost Paid for Long-Acting Opioid 0
Number of Day's Supply of All Long-Acting 0
Long-Acting Opioid Claims 0
Opioid_LA_Tot_Clms divided by the 0
Total Claims of Antibiotic Drugs, Including 96
Aggregate Cost Paid for Antibiotic Drugs 1308.18
Antibiotic Claims 64
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst *
Including Refills, for Beneficiaries Age 65+
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries 70.876923077
Number of Beneficiaries Age Less Than 65 37
Number of Beneficiaries Age 65 to 74 94
Number of Beneficiaries Age 75 to 84 47
Number of Female Beneficiaries 123
Number of Male Beneficiaries 72
Number of Non-Hispanic White 190
Number of Black or African American
Number of Asian Pacific Islander 0
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not 0
Only Entitlement 158
Average Hierarchical Condition Category 1.0265997838

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Kristen Jackson
Registered Nurse
NPI Number: 1316465347
Address: 1024 N MAGNOLIA ST Elmwood, IL 61529 , Phone: 3097426334
Graham Hospital Association
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Kristen Jackson in Other Directories

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