Kristin Jackson, PA
Physician Assistant in Weed, CA. Individual provider (NPI-1).
NPI number1689436636
StatusActive
Last updated in NPPESOct 21, 2026
Details
- NPI
- 1689436636
- Entity type
- Individual (NPI-1)
- Name
- Kristin Jackson
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 25, 2024
- Certification date
- Jan 25, 2024
- Last updated
- Oct 21, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
16337 Everhart DrWeed, CA 96094-9400
Phone 530-938-2297
Mailing address
16337 Everhard DrWeed, CA 96094
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