Nisha Jackson PC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

086006299N7 Issued in OR

Legal business name

NISHA JACKSON PC

Practice address

3265 Hillcrest Park Dr
Medford, OR 97504-7657

Phone

(541) 494-9355

Fax

(541) 210-8724

NPI assigned

Oct 15, 2015

Last updated

Jul 31, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Karissa Stults

Title

VP of Billing and Contracting

Phone

(541) 930-8545

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 74

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jueth Atigbi-Hansen, FNP

  • Family Nurse Practitioner
  • Klamath Falls, OR
  • NPI 1588064596
  Medicare reassignment Care Compare group
• Sally Jean Beggs, DNP

  • Family Nurse Practitioner
  • Albany, OR
  • NPI 1558916049
  Medicare reassignment Care Compare group
• Rebekah Dawn Bird, FNP

  • Family Nurse Practitioner
  • Albany, OR
  • NPI 1952056376
  Medicare reassignment Care Compare group
• Lilian Renata Bornio Carrillo

  • Physician Assistant
  • Lake Oswego, OR
  • NPI 1275127979
  Medicare reassignment Care Compare group
• Carol D Crisp, PHD, MSN, FNP-BC

  • Family Nurse Practitioner
  • Springfield, OR
  • NPI 1689730616
  Medicare reassignment Care Compare group
• Marlene Dabestan, NP

  • Family Nurse Practitioner
  • Talent, OR
  • NPI 1831828474
  Medicare reassignment Care Compare group
• Vanessa Darnell, FNP-C

  • Family Nurse Practitioner
  • Portland, OR
  • NPI 1679806137
  Medicare reassignment Care Compare group
• Krista Espenship

  • Family Nurse Practitioner
  • Lake Oswego, OR
  • NPI 1083141196
  Medicare reassignment Care Compare group
• Doris Dee Fleming, NP

  • Adult Health Nurse Practitioner
  • Eugene, OR
  • NPI 1386002038
  Medicare reassignment Care Compare group
• Karly Glenn

  • Medical Physician Assistant
  • Lake Oswego, OR
  • NPI 1679255004
  Medicare reassignment Care Compare group
• Douglas Goodgion

  • Physician Assistant
  • Bend, OR
  • NPI 1629727219
  Medicare reassignment Care Compare group
• Sooji Hong, PA

  • Medical Physician Assistant
  • Eugene, OR
  • NPI 1144937442
  Medicare reassignment Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1444867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785456000000",
    "number": "1124499124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3265 HILLCREST PARK DR",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047657",
            "telephone_number": "541-494-9355",
            "fax_number": "541-494-0945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3265 HILLCREST PARK DR",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047657",
            "telephone_number": "541-494-9355",
            "fax_number": "541-210-8724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NISHA JACKSON PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-15",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A",
        "authorized_official_last_name": "STULTS",
        "authorized_official_first_name": "KARISSA",
        "authorized_official_title_or_position": "VP OF BILLING AND CONTRACTING",
        "authorized_official_telephone_number": "541-930-8545"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "086006299N7",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012158",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Nidalmia, CPM
• Laurie Nielsen, P.M.H.N.P
• Melissa Nielsen
• Chloe Bryn Niemeyer, PA-C
• Nisha Jackson Companies, LLC
• Randal R Nixon, M.D.
• Noble Integrative Health LLC
• Erin D Noble, MPT
• Duane Lee Noon, HAS
• Gleda Michelle Noon

• Nurse Practitioner in Medford, OR
• Providers in Medford, OR by specialty
• Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.