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NPI · 1164055109 · NPPES-sourced

Karissa Jackson Acnpc-Ag

ActiveAcute Care Nurse Practitioner
NPI Number
1164055109
Type 1 · Individual
Taxonomy Code
363LA2100X
Contact
(385) 464-3980
License UT · 7120828-4405
Last Updated
About 2 years ago (Jun 2024)
Enumerated 2020-02-18
Primary practice addressUT · 84060-5148
1776 Park Ave Ste 211Park City, UT 84060-5148
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Also known as

  • Formerly known asJungerman, Karissa Keagan

Source: NPPES public registry.

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About this NPIWhat this record shows.

NPI 1164055109 is registered to Karissa Jackson Acnpc-Ag, a Acute Care Nurse Practitioner practising at 1776 Park Ave Ste 211 in Park City, Utah. Acute Care Nurse Practitioner is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Karissa Jackson Acnpc-Ag has been enumerated in the National Provider Identifier (NPI) registry since 2020.

Provider type
Individual (Type 1)
Status
Active
Enumerated
2020-02-18
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Karissa Jackson Acnpc-Ag accepts. To confirm in-network status with your specific health plan, contact Karissa Jackson Acnpc-Ag directly at (385) 464-3980.

Frequently asked

Yes. NPI 1164055109 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Acute Care Nurse Practitioner is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (385) 464-3980.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Karissa Jackson Acnpc-Ag is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy363LA2100X
Last updated2024-06
Enumerated2020-02-18
StatusActive
Partneri
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Same specialtyOther Acute Care Nurse Practitioner providers in Utah.

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