Timothy Jackson, PA
NPI 1124338504 · Medical Physician Assistant · Williams, AZ
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Timothy Jackson, PA is a Medical Physician Assistant provider in Williams, AZ (NPI 1124338504).
Provider details
- NPI number
- 1124338504
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 5407 (AZ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
15 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
55 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Emergency Department Visit With Low Level of Medical Decision Making99283 | 41 | $58 |
| Emergency Department Visit With Moderate Level of Medical Decision Making99284 | 14 | $98 |
Typical Medicare-allowed amounts for these services range $58–$98 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (1)
- 2722 N Mariah WayFlagstaff, AZ 86004-7550Phone: (928) 527-7759
Registry dates
- Enumerated
- 2010-10-19
- Last updated
- 2021-07-21
- Certified
- 2021-07-21
Frequently asked questions
- What is Timothy Jackson's NPI number?
- Timothy Jackson's National Provider Identifier (NPI) is 1124338504, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Timothy Jackson's specialty?
- Timothy Jackson is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Timothy Jackson located?
- Timothy Jackson's practice location on file with NPPES is 300 S 6th St, Williams, AZ 86046-0110.
- What is Timothy Jackson's phone number?
- The practice phone number listed in the NPPES registry for Timothy Jackson is (928) 635-4441.
- Does Timothy Jackson accept Medicare?
- Timothy Jackson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Timothy Jackson's NPI active?
- Yes — Timothy Jackson's NPI (1124338504) is active in the NPPES registry as of the last update on 2021-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.