Krystal M Jackson (NPI# 1366539637, PAC ID# 5991735953) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1366539637 |
| PAC ID by PECOS | 5991735953 |
| Professional Enrollment ID | I20121024000626 |
| Full Name | Krystal M Jackson |
| Organization Legal Name | INNOVATIVE COMMUNITY HEALTH INSTITUTE LLC |
| Address |
969 E Hwy 33 Saline Medical Specialties Crete NE 68333-2547 |
| Phone Number | 4028263222 |
| Gender | F |
| Credential | PA |
| Medical School | UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0840530150 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 281354 | CRETE AREA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 969 E Hwy 33, Saline Medical Specialties, Crete, NE 68333-2547 | 4028263222 | INNOVATIVE COMMUNITY HEALTH INSTITUTE LLC |
| Organization Legal Name | INNOVATIVE COMMUNITY HEALTH INSTITUTE LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Josue D Gutierrez | Family Medicine | Innovative Community Health Institute LLC | 969 E Hwy 33, Saline Medical Specialties, Crete, NE 68333-2547 |
| Street Address |
969 E HWY 33 SALINE MEDICAL SPECIALTIES |
| City | CRETE |
| State | NE |
| Zip | 68333-2547 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Josue D Gutierrez | Family Medicine | Innovative Community Health Institute LLC | 969 E Hwy 33, Saline Medical Specialties, Crete, NE 68333-2547 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard Allen Felsing | Chiropractic | 1314 Main Ave, Crete, NE 68333-1504 | |
| Bruce E Wahl | Chiropractic | 220 E 13th St, Crete, NE 68333-2237 | |
| Carry R Crist | Chiropractic | Countryside Chiropractic PC | 1106 Main Ave, Crete, NE 68333-2258 |
| Julie M Crist | Chiropractic | Countryside Chiropractic PC | 1106 Main Ave, Crete, NE 68333-2258 |
| Deborah K Bessler | Optometry | 1119 Main Ave, Crete, NE 68333-2259 | |
| Joseph L Kummer | Cardiovascular Disease (cardiology) | Integrated Cardiology Group LLC | 2910 Betten Dr, Crete, NE 68333-3084 |
| Tammy M Schroeder | Nurse Practitioner | Crete Area Medical Center | 2910 Betten Dr, Crete, NE 68333-3084 |
| Scott Allen Schroeder | Nurse Practitioner | Crete Area Medical Center | 2910 Betten Dr, Crete, NE 68333-3084 |
| Michael Lee Koebernick | Physician Assistant | Lincoln Orthopaedic Center PC | 2910 Betten Dr, Crete, NE 68333-3084 |
| Clyde R Meckel | Interventional Cardiology | Integrated Cardiology Group LLC | 2910 Betten Dr, Crete, NE 68333-3084 |
| Find all physicians in zip 68333 | |||
| City | CRETE |
| Zip Code | 68333 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | CRETE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Krystal M Jackson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.