KATRINA MARGARET JACKSON CNP NPI 1588979306

NPI Information

  • NPI: 1588979306
  • Provider Name: KATRINA MARGARET JACKSON, CNP
  • Classification: Nurse Practitioner - 363L00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1580 BEAM AVE
    MAPLEWOOD, MN
    ZIP 55109
  • Phone: (651) 779-7978

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NPI Details

Katrina Margaret Jackson, CNP is a nurse practitioner in Maplewood, MN with 16 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. Katrina Margaret Jackson, CNP NPI is 1588979306. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduation Year:2010

The provider's business location address is:

1580 BEAM AVE
MAPLEWOOD, MN
ZIP 55109-127
Phone: (651) 779-7978
Fax: (651) 779-7656

The NPI 1588979306 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.

  • Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Blood test, comprehensive group of blood chemicals (HCPCS:80053)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Follow-up hospital inpatient care per day, typically 15 minutes (HCPCS:99231)
  • Blood test, thyroid stimulating hormone (tsh) (HCPCS:84443)
  • Iron level (HCPCS:83540)
  • Iron binding capacity (HCPCS:83550)
  • Carcinoembryonic antigen (cea) protein level (HCPCS:82378)
  • Psa (prostate specific antigen) measurement, total (HCPCS:84153)
  • Ferritin (blood protein) level (HCPCS:82728)
  • Initial hospital inpatient care per day, typically 30 minutes (HCPCS:99221)
  • Urinalysis, manual test (HCPCS:81002)
  • Red blood count automated, with additional calculations (HCPCS:85046)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Lactate dehydrogenase (enzyme) level (HCPCS:83615)

The enumeration date for this NPI number is 8/17/2010 and was last updated on 11/21/2017.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse Practitioner4704285871MICHIGANNo
2363L00000XNurse Practitioner11676OHIONo
3363L00000XNurse Practitioner2397795MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1NP36761MEDICARE PINOHIO
20P32180062MEDICARE PINMICHIGAN
37100132960MEDICAIDKENTUCKY
4201010130MEDICAIDINDIANA
53080713MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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