Taryn Jackson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

3279 Issued in NE

Practice address

825 Centennial Dr
Chadron, NE 69337-9400

Phone

(308) 432-4441

NPI assigned

Jul 2, 2025

Sex

Female

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 NE

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

Physician Assistant

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chadron Medical Clinic PCGroup PAC ID 8022086453, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Chadron Hospital Hospital, Chadron, NE, CCN 281341

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Chadron Medical Clinic PC

  • General Practice Physician
  • Chadron, NE
  • NPI 1417167370
  Medicare reassignment Care Compare group
• Chadron Community Hospital Corp.

  • Critical Access Hospital
  • Chadron, NE
  • NPI 1467675629
  Medicare reassignment NPD
• Chadron Community Hospital Corp.

  • Home Health Agency
  • Chadron, NE
  • NPI 1972766681
  NPD (past)
• Chadron Medical Clinic PC

  • Family Medicine Physician
  • Chadron, NE
  • NPI 1619455946
  NPD (past)

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

• Chadron Community Hospital Corp.

  • Critical Access Hospital
  • Chadron, NE
  • NPI 1467675629
  Care Compare affiliation

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

{
    "created_epoch": "1751414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1487543351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 LAKE ST",
            "city": "CHADRON",
            "state": "NE",
            "postal_code": "693372517",
            "telephone_number": "970-630-2236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 CENTENNIAL DR",
            "city": "CHADRON",
            "state": "NE",
            "postal_code": "693379400",
            "telephone_number": "308-432-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "TARYN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-02",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "3279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adele Huls, PHD, RD, LMNT, LN
• HWD, LLC
• Abie Hope Hyatt, LPN
• Inner Peace Holistic Healing Center LLC
• Inspirit Counseling PC
• Ann Jamison, PLMHP
• Sonya M Jensen, PHARMD
• Zachary Jensen, PHARM D
• Johndreau Dental LLC
• Stephen Wade Johndreau, DDS

• Physician Assistant in Chadron, NE
• Providers in Chadron, NE by specialty
• Physician Assistant in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; 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.