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Krista Jackson , PA

Physician Assistant โ€ข Lagrange, IN

Active NPI 1881435725 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

2500 N Detroit St
Lagrange, IN 467611158

Call 2604632133 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2500 N Detroit St

Lagrange, IN 467611158

Telephone 2604632133
Fax 2604633775
Organization at the Same NPPES Address or Phone
Northeast Internal Medicine Associates, Pc Facility NPI 1174518500

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Northeast Internal Medicine Associates, Pc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2023

Medicare patients

40 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $1,557 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $1,252 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021โ€“2025.

Guide: How to read an Open Payments record

Years since graduation

3 years (graduated 2023)

CMS Doctors and Clinicians data list 2023 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Krista Jackson has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Krista Jackson as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Lagrange and Indiana

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 95% of clinicians listed under Physician Assistant in Indiana (2024, 1,341 clinicians with data). Median for this group: 197. Middle half: 86 to 492.

Too few clinicians listed under Physician Assistant in Lagrange have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A lower Medicare-allowed amount than 90% of clinicians listed under Physician Assistant in Indiana (2024, 1,341 clinicians with data). Median for this group: $15,329. Middle half: $6,542 to $30,900.

Too few clinicians listed under Physician Assistant in Lagrange have Medicare Part B data for 2024 to compare.

Paid by Medicare

A lower Medicare payment amount than 90% of clinicians listed under Physician Assistant in Indiana (2024, 1,341 clinicians with data). Median for this group: $11,240. Middle half: $4,743 to $22,484.

Too few clinicians listed under Physician Assistant in Lagrange have Medicare Part B data for 2024 to compare.

3 active clinicians are listed under Physician Assistant with a practice address in Lagrange, IN (2,419 in Indiana).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
12 12 $500.00 $129.73

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-07-12
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES IN 10004448A

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Indiana Professional Licensing Agency.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20260206003596

Enrollment State Jurisdiction

OH

PECOS Control ID

8921544487

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Northeast Internal Medicine Associates, Pc

2500 N Detroit St, Lagrange, IN 467611158

Phone: 2604632133

Northeast Internal Medicine Associates, Pc

433 W High St, Bryan, OH 435061690

Phone: 2604632133111

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

35 listed
Dr. Musa Abdalla , MD

Family Medicine

NPI 1548552375

Doctor of Medicine (M.D.)

Dr. Ahad Ayaz , MD

Internal Medicine

NPI 1497160642

Doctor of Medicine (M.D.)

Dr. Aditi Bawa , MD

Internal Medicine

NPI 1184240269

Doctor of Medicine (M.D.)

Courtney Boggs

Nurse Practitioner - Family

NPI 1861844037
Elizabeth Burkhart , NP

Nurse Practitioner

NPI 1558712646

Nurse Practitioner

Megan Buuck , FNP

Nurse Practitioner - Family

NPI 1578054193

Family Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 12, 2024

Physician Assistant (license number reported to NPPES: IN 10004448A)

โœ…
NPI Profile Active June 04, 2024

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) June 04, 2024

Registered at 2500 N DETROIT ST, LAGRANGE, IN 467611158 (Tel: 2604632133)

๐Ÿ“
Business Mailing Address (Initial Record) June 04, 2024

Registered at PO BOX 236, LAGRANGE, IN 467610236 (Tel: 2604632133)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) June 04, 2024

Recorded as KRISTA JACKSON, PA

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 04, 2024

Student in an Organized Health Care Education/Training Program

๐ŸŸข
Initial NPI Registration & Enumeration June 04, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1881435725
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 04, 2024
Last Update: July 12, 2024
Sole Proprietor: No

Other Physician Assistants in Lagrange

Mailing Address

Po Box 236

Lagrange, IN 467610236

Phone: 2604632133

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.