IndividualActive

Kaylyn Jackson, PA

NPI 1104283365 · Physician Assistant · Roanoke, VA

Provider details

NPI number: 1104283365
Entity type: Individual
Primary specialty: Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Credential: PA
Sex: Female
Sole proprietor: No
License: 5601011711 (MI)

Specialties & taxonomies

Physician AssistantPrimary363A00000XLicense 0110005201 (VA)
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistant363A00000XLicense 5601011711 (MI)
Physician Assistants & Advanced Practice Nursing Providers
Surgical Physician Assistant363AS0400XLicense 0110-005201 (VA)
Physician Assistants & Advanced Practice Nursing Providers

Profile Score

Detailed profile(84/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure33% of score
10 yrs in NPPES registry
Profile completeness33% of score
100% of core fields populated
Practice footprint20% of score
3 documented practice locations
Open Payments transparency13% of score
Has Open Payments disclosures (2024)

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Transparency — industry payments

Based on CMS Open Payments, 2024; not all care is captured.

$21 across 1 record (Open Payments 2024)

Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.

Practice location

2001 Crystal Spring Ave Sw Ste 201

Roanoke, VA 24014-2465

Phone: (540) 853-0100

Street-level locationGet directions

More VA providers

Mailing address

213 S Jefferson St Ste 1006

Roanoke, VA 24011-1713

Additional practice locations (2)

1100 E Michigan Ave
Jackson, MI 49201-1847
Phone: (517) 205-4800
1221 Lee St
2nd Floor
Charlottesville, VA 22908-0001
Phone: (434) 924-5052
Fax: (434) 844-7588

Enumerated: 2016-01-19
Last updated: 2025-08-15
Certified: 2025-08-15

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.