Christine S Jackson, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP125323 Issued in TX

Practice address

2693 North St
Beaumont, TX 77702-1624

Phone

(409) 832-8862

Fax

(409) 832-1664

NPI assigned

Apr 1, 2014

Last updated

Dec 14, 2023By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southeast Texas Cardiology Associates II LLPGroup PAC ID 8426152372, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Beaumont Hospital Hospital, Beaumont, TX, CCN 450346
• Christus Southeast Texas- St Elizabeth Hospital, Beaumont, TX, CCN 450034

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: christine.jackson.1@5553.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/5553/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir4.healow.com/fhir/r4/AGCCAA

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.

• Southeast Texas Cardiology Associates II LLP

  • Cardiovascular Disease Physician
  • Beaumont, TX
  • NPI 1164455671
  Medicare reassignment Care Compare group NPD
• Golden Triangle Internal Medicine PA

  • Internal Medicine Physician
  • Beaumont, TX
  • NPI 1750135950
  NPD (past)
• Cardiac Imaging Inc

  • Mobile Radiology Clinic/Center
  • Oakbrook Terrace, IL
  • NPI 1770830606
  NPD (past)

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

• Baptist Hospitals of Southeast Texas

  dba Baptist Beaumont Hospital

  • General Acute Care Hospital
  • Beaumont, TX
  • NPI 1093744187
  Care Compare affiliation
• Christus Health Southeast Texas

  dba CHRISTUS Southeast Texas - St. Elizabeth

  • General Acute Care Hospital
  • Beaumont, TX
  • NPI 1679557888
  Care Compare affiliation

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

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1972921500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2693 NORTH ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021624",
            "telephone_number": "409-832-8862",
            "fax_number": "409-832-1664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2693 NORTH ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021624",
            "telephone_number": "409-832-8862",
            "fax_number": "409-832-1664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "CHRISTINE",
        "middle_name": "S",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-01",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP125323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "353166701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• J & C Orthotics and Prosthetics
• J & C Orthotics and Prosthetics (J & C Orthotics & Prosthetics)
• J a M Daycare Health and Services LLC
• J.C.V.K. Inc. (Accent Health Services)
• Jackson T. Achilles, MD PA
• Jennifer Beth Jackson, FNP-C
• Kristina Gayle Jackson, C.R.N.A.
• Sharon K. Jackson, O.T.R.
• Marcusella Stevenson Jagneaux, D.C.
• Nicole Yvette Jaikaran, M.D.

• Family Nurse Practitioner in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; 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.