Kristin M Jackson LLC
NPI 1649748666 · Gynecology Physician · Maitland, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kristin M Jackson LLC is a Gynecology Physician organization in Maitland, FL (NPI 1649748666).
Provider details
- NPI number
- 1649748666
- Entity type
- Organization
- Primary specialty
- Gynecology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kristin Jackson, Owner(407) 902-7400
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
Mailing address
Other names (DBA / former)
- Doing business as
- Advanced Urogynecology
- Doing business as
- Advanced Urogynecology
Registry dates
- Enumerated
- 2018-11-07
- Last updated
- 2018-12-26
Frequently asked questions
- What is Kristin M Jackson LLC's NPI number?
- Kristin M Jackson LLC's National Provider Identifier (NPI) is 1649748666, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kristin M Jackson LLC?
- Kristin M Jackson LLC is classified in the NPPES registry as Gynecology Physician (Allopathic & Osteopathic Physicians).
- Where is Kristin M Jackson LLC located?
- Kristin M Jackson LLC's practice location on file with NPPES is 260 Lookout Pl Ste 201, Maitland, FL 32751-4485.
- What is Kristin M Jackson LLC's phone number?
- The practice phone number listed in the NPPES registry for Kristin M Jackson LLC is (407) 898-9804.
- Does Kristin M Jackson LLC accept Medicare?
- Kristin M Jackson LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Kristin M Jackson LLC?
- The authorized official listed on Kristin M Jackson LLC's NPPES record is Kristin Jackson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kristin M Jackson LLC's NPI active?
- Yes — Kristin M Jackson LLC's NPI (1649748666) is active in the NPPES registry as of the last update on 2018-12-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.