Kristen J Jackson (NPI# 1316465347, PAC ID# 8527325356) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1316465347 |
| PAC ID by PECOS | 8527325356 |
| Professional Enrollment ID | I20171201001882 |
| Full Name | Kristen J Jackson |
| Organization Legal Name | GRAHAM HOSPITAL ASSOCIATION |
| Address |
180 S Main St Canton IL 61520-2608 |
| Phone Number | 3096470201 |
| Gender | F |
| Medical School | GEORGETOWN UNIVERSITY OF MEDICINE |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2769375021 |
| Number of Group Practice Members | 56 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140001 | GRAHAM HOSPITAL ASSOCIATION |
| Address | Phone | Organization |
|---|---|---|
| 180 S Main St, Canton, IL 61520-2608 | 3096470201 | GRAHAM HOSPITAL ASSOCIATION |
| Organization Legal Name | GRAHAM HOSPITAL ASSOCIATION |
| Physicians | 48 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allen K Savegnago | Family Medicine | Graham Hospital Association | 210 W Walnut St, Canton, IL 61520-2444 |
| Jessica Lynn Bugos | Nurse Practitioner | Graham Hospital Association | 180 S Main St, Canton, IL 61520-2608 |
| Jared E Grzanich | Physician Assistant | Graham Hospital Association | 180 S Main St, Canton, IL 61520-2608 |
| Samuel S Mortoti | Cardiovascular Disease (cardiology) | Graham Hospital Association | 210 W Walnut St, Canton, IL 61520-2444 |
| Jimmie M Smith | Internal Medicine | Graham Hospital Association | 180 S Main St, Canton, IL 61520-2608 |
| Joshua D Bowers | Family Medicine | Graham Hospital Association | 210 W Walnut St, Canton, IL 61520-2444 |
| Cody J. Gibbs | Nurse Practitioner | Graham Hospital Association | 180 S Main St, Canton, IL 61520-2608 |
| Ramayya R Gowda | Thoracic Surgery | Graham Hospital Association | 210 W Walnut St, Canton, IL 61520-2444 |
| Stephanie Barnes | Nurse Practitioner | Graham Hospital Association | 180 S Main St, Canton, IL 61520-2608 |
| Benjamin W Phillips | Internal Medicine | Graham Hospital Association | 210 W Walnut St, Canton, IL 61520-2444 |
| Street Address |
180 S MAIN ST |
| City | CANTON |
| State | IL |
| Zip | 61520-2608 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul A S Fishkin | Hematology/oncology | Oncology Hematology Associates of Central Illinois PC | 180 S Main St, Suite 2e, Canton, IL 61520-2608 |
| Jessica Lynn Bugos | Nurse Practitioner | Graham Hospital Association | 180 S Main St, Canton, IL 61520-2608 |
| Jared E Grzanich | Physician Assistant | Graham Hospital Association | 180 S Main St, Canton, IL 61520-2608 |
| Jimmie M Smith | Internal Medicine | Graham Hospital Association | 180 S Main St, Canton, IL 61520-2608 |
| Cody J. Gibbs | Nurse Practitioner | Graham Hospital Association | 180 S Main St, Canton, IL 61520-2608 |
| Stephanie Barnes | Nurse Practitioner | Graham Hospital Association | 180 S Main St, Canton, IL 61520-2608 |
| Jing Qiao | Obstetrics/gynecology | Graham Hospital Association | 180 S Main St, Canton, IL 61520-2608 |
| Tiffanny M Connolly | Physician Assistant | Graham Hospital Association | 180 S Main St, Canton, IL 61520-2608 |
| Kyle J Mccarthy | Nurse Practitioner | Graham Hospital Association | 180 S Main St, Canton, IL 61520-2608 |
| Abby A Putnam | Nurse Practitioner | Graham Hospital Association | 180 S Main St, Canton, IL 61520-2608 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Morse Ii | Family Medicine | Iowa Physicians Clinic Medical Foundation | 2076 N Main St, Canton, IL 61520-1054 |
| Erin Md Martin | Family Medicine | Iowa Physicians Clinic Medical Foundation | 2076 N Main St, Canton, IL 61520-1054 |
| Candy S Johnson | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 2076 N Main St, Canton, IL 61520-1054 |
| Rebecca L Burgard | Physical Therapy | Rock Valley Physical Therapy Center | 370 N Main St, Canton, IL 61520-1826 |
| Adam Arthur Hanes | Physical Therapy | 486 N Main St, Canton, IL 61520-1828 | |
| Allen K Savegnago | Family Medicine | Graham Hospital Association | 210 W Walnut St, Canton, IL 61520-2444 |
| Samuel S Mortoti | Cardiovascular Disease (cardiology) | Graham Hospital Association | 210 W Walnut St, Canton, IL 61520-2444 |
| Joshua D Bowers | Family Medicine | Graham Hospital Association | 210 W Walnut St, Canton, IL 61520-2444 |
| Omer M Aker | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 210 W Walnut St, Canton, IL 61520-2444 |
| Ramayya R Gowda | Thoracic Surgery | Graham Hospital Association | 210 W Walnut St, Canton, IL 61520-2444 |
| Find all physicians in zip 61520 | |||
| City | CANTON |
| Zip Code | 61520 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CANTON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kristen J 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.