Kevin Jackson, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP026207 Issued in PA

Practice address

2626 Haymaker Rd FL 2
Monroeville, PA 15146-3516

Phone

(412) 373-4677

NPI assigned

Aug 31, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Allegheny Clinic Medical OncologyGroup PAC ID 9739077561, 97 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Forbes Hospital Hospital, Monroeville, PA, CCN 390267
• West Penn Hospital Hospital, Pittsburgh, PA, CCN 390090
• Allegheny General Hospital Hospital, Pittsburgh, PA, CCN 390050
• Allegheny Valley Hospital Hospital, Natrona, PA, CCN 390032

Merit-based Incentive Payment System (MIPS)

Final score

79.53 of 100Reported as group

Quality

73.42

Promoting interoperability

100

Improvement activities

40

Cost

47.86

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kjackson70514@direct.ahn.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Allegheny Clinic Medical Oncology

  • Hematology & Oncology Physician
  • Pittsburgh, PA
  • NPI 1831143403
  Medicare reassignment Care Compare group NPD
• Allegheny Clinic

  • Medical Oncology Physician
  • Pittsburgh, PA
  • NPI 1174510689
  NPD (past)
• Windber Hospital, Inc.

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Alle-Kiski Medical Center

  • General Acute Care Hospital
  • Natrona Heights, PA
  • NPI 1689679581
  Care Compare affiliation
• West Penn Allegheny Health System Inc

  • General Acute Care Hospital
  • Pittsburgh, PA
  • NPI 1194744805
  Care Compare affiliation
• West Penn Allegheny Health System Inc.

  • General Acute Care Hospital
  • Pittsburgh, PA
  • NPI 1285667493
  Care Compare affiliation
• West Penn Allegheny Health System Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pittsburgh, PA
  • NPI 1295857530

  Hospital

  Care Compare affiliation
• West Penn Allegheny Health System Inc.

  • Oncology Clinic/Center
  • Pittsburgh, PA
  • NPI 1346489143

  Hospital

  Care Compare affiliation
• West Penn Allegheny Health System Inc.

  • General Acute Care Hospital
  • Monroeville, PA
  • NPI 1679592380
  Care Compare affiliation
• West Penn Allegheny Health System Inc.

  • Air Ambulance
  • Pittsburgh, PA
  • NPI 1821110172

  Hospital

  Care Compare affiliation
• West Penn Allegheny Health System Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pittsburgh, PA
  • NPI 1912029265

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1376263350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 MOREWOOD AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152131861",
            "telephone_number": "412-622-0290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 HAYMAKER RD FL 2",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151463516",
            "telephone_number": "412-373-4677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "KEVIN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-31",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP026207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manasa Manapragada Irwin, MD
• William H. Isaacs, D.D.S.
• Justin Prakorb Isariyawongse, M.D.
• Lauren Noel Ison, PA-C
• Smiljana Istvanic-Zdravkovic, MD
• Michelle Aislinn Jackson
• Jade Wellness Center
• Jade Wellness Center
• Sandeep Jain, MD
• Ashley Tecla Jakosh, PHARMD

• Family Nurse Practitioner in Monroeville, PA
• Providers in Monroeville, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.