Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Kristie Lynn Jackson, NP

Individual provider Family Nurse Practitioner · NPI 1053407817

Mrs. Kristie Lynn Jackson, NP is a Nurse Practitioner in Blacksburg, Virginia. Qualified in 2006, 20 years ago. Practices with Wildwood Emergency Group, LLC, a 37-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
20
Licensed in
VA
In the registry since
2006
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

3700 S Main St
Blacksburg, VA 24060 Not confirmed with CMS for 19 years — call before visiting
Phone: (540) 953-5385
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0024167104 (VA)

Record details

NPI number1053407817
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedOctober 5, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Wildwood Emergency Group, Llc — 37 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients221
Services billed 257 a service is one billed item, such as a visit, a test or a procedure
Average patient age76

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Wildwood Emergency Group, LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 37 clinicians in the practice; 12 are shown here.

Other providers in Blacksburg