KIMBERLY MARIE JACKSON ACNPC-AG NPI 1336682780

NPI Details

Kimberly Marie Jackson, ACNPC-AG is a nurse practitioner in Conway, SC with 10 years of experience. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. Kimberly Marie Jackson, ACNPC-AG NPI is 1336682780. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2376 CYPRESS CIR STE 300
CONWAY, SC
ZIP 29526-995
Phone: (843) 353-3460

The NPI 1336682780 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Replacement of knee joint, both sides of knee (HCPCS:27447)
• Replacement of thigh bone and hip joint with prosthesis (HCPCS:27130)
• Insertion of cage or mesh device to spine bone and disc space during spine fusion (HCPCS:22853)
• Fusion of additional segment of spine (HCPCS:22614)
• Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
• Fusion of spine in lower back (HCPCS:22612)
• Fusion of lower spine bone through abdomen with partial removal of disc (HCPCS:22558)
• Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment (HCPCS:63048)
• Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment (HCPCS:63047)
• Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc (HCPCS:22551)
• Prosthetic repair of shoulder joint, total shoulder (HCPCS:23472)
• Placement of stabilizing device to back, 3-6 spine bone segments (HCPCS:22842)
• Hip replacement (HCPCS:NAN09)
• Knee replacement (HCPCS:NAN06)
• Upper limb (arm) arthroscopy (minimally invasive joint repair) (HCPCS:NAN17)

The enumeration date for this NPI number is 12/2/2016 and was last updated on 7/20/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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