OrganizationActive
Kristine M Staheli Jackson
NPI 1205847845 · Non-Pharmacy Dispensing Site · Dubuque, IA
Kristine M Staheli Jackson is a Non-Pharmacy Dispensing Site organization in Dubuque, IA (NPI 1205847845).
Provider details
- NPI number
- 1205847845
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Organization subpart
- No
- Authorized official
- Gary Gansemer, Ceo(563) 583-7357
- License
- F066142 (IA)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
Hillcrest Family Services Clinic
220 W 7th St
Dubuque, IA 52001
Phone: (563) 583-6431
Fax: (563) 557-4447
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 116
Dubuque, IA 52004-0116
Registry dates
- Enumerated
- 2006-08-10
- Last updated
- 2020-08-22
Frequently asked questions
- What is Kristine M Staheli Jackson's NPI number?
- Kristine M Staheli Jackson's National Provider Identifier (NPI) is 1205847845, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kristine M Staheli Jackson?
- Kristine M Staheli Jackson is classified in the NPPES registry as Non-Pharmacy Dispensing Site (Suppliers).
- Where is Kristine M Staheli Jackson located?
- Kristine M Staheli Jackson's practice location on file with NPPES is Hillcrest Family Services Clinic, Dubuque, IA 52001.
- What is Kristine M Staheli Jackson's phone number?
- The practice phone number listed in the NPPES registry for Kristine M Staheli Jackson is (563) 583-6431.
- Who is the authorized official for Kristine M Staheli Jackson?
- The authorized official listed on Kristine M Staheli Jackson's NPPES record is Gary Gansemer, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kristine M Staheli Jackson's NPI active?
- Yes — Kristine M Staheli Jackson's NPI (1205847845) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.