OrganizationActive
Nisha Jackson Inc.
NPI 1629920442 · Rural Health Clinic/Center · Roseburg, OR
Nisha Jackson Inc. is a Rural Health Clinic/Center organization in Roseburg, OR (NPI 1629920442).
Provider details
- NPI number
- 1629920442
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Karissa Stults, Vp of Billing and Contracting(541) 930-8545
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
1700 Nw Garden Valley Blvd Ste 201
Roseburg, OR 97471-1636
Phone: (541) 930-8545
Street-level locationGet directions
Mailing address
2040 Commerce Dr
Medford, OR 97504-9744
Registry dates
- Enumerated
- 2026-02-12
- Last updated
- 2026-02-12
- Certified
- 2026-02-12
Frequently asked questions
- What is Nisha Jackson Inc.'s NPI number?
- Nisha Jackson Inc.'s National Provider Identifier (NPI) is 1629920442, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Nisha Jackson Inc.?
- Nisha Jackson Inc. is classified in the NPPES registry as Rural Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Nisha Jackson Inc. located?
- Nisha Jackson Inc.'s practice location on file with NPPES is 1700 Nw Garden Valley Blvd Ste 201, Roseburg, OR 97471-1636.
- What is Nisha Jackson Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Nisha Jackson Inc. is (541) 930-8545.
- Who is the authorized official for Nisha Jackson Inc.?
- The authorized official listed on Nisha Jackson Inc.'s NPPES record is Karissa Stults, Vp of Billing and Contracting. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Nisha Jackson Inc.'s NPI active?
- Yes — Nisha Jackson Inc.'s NPI (1629920442) is active in the NPPES registry as of the last update on 2026-02-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.