Kristen Jackson, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

MA061320 Issued in PA

Practice address

6001 Stonewood Dr
Wexford, PA 15090-7380

Phone

(724) 933-3850

NPI assigned

Dec 31, 2019

Last updated

Dec 2, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Western Pennsylvania Hand CenterGroup PAC ID 5294636288, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Upmc Passavant Hospital, Pittsburgh, PA, CCN 390107

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

• Western Pennsylvania Hand Center

  dba Hand & Shoulder Center

  • Orthopaedic Hand Surgery Physician
  • Wexford, PA
  • NPI 1346203494
  Medicare reassignment Care Compare group

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

• Upmc Passavant

  • General Acute Care Hospital
  • Pittsburgh, PA
  • NPI 1225047699
  Care Compare affiliation
• Upmc Passavant

  • Ambulatory Surgical Clinic/Center
  • Pittsburgh, PA
  • NPI 1639218936

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1577750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1841839339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 STONEWOOD DR",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150907380",
            "telephone_number": "724-933-3850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 STONEWOOD DR",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150907380",
            "telephone_number": "724-933-3850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 Pleasant Dr Ste 209",
            "address_purpose": "LOCATION",
            "city": "Aliquippa",
            "state": "PA",
            "postal_code": "150011333",
            "country_code": "US",
            "telephone_number": "724-933-3850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "KRISTEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-31",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA061320",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MA061320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Simon Ikechukwu Iroha
• Valentyna Ivanova, MD
• Madeline Seanor Ivory, WHNP-BC
• Jill Yvonne Jacaszek, MA CCC SLP
• Elsbeth Davis Jacks, MS, PT, PCS
• Laurie Jackson
• Maddilyn Jackson
• Maryrose Jackson
• Sienna Kier Jackson
• Erica Lynn Jacobs

• Surgical Physician Assistant in Wexford, PA
• Providers in Wexford, PA by specialty
• Surgical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; 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.