Mara Jackson, PA-C, ATC
NPI 1801242284 · Physician Assistant · Chaska, MN
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mara Jackson, PA-C, ATC is a Physician Assistant provider in Chaska, MN (NPI 1801242284).
Provider details
- NPI number
- 1801242284
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C, ATC
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Athletic Trainer2255A2300X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
83% 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
Registry dates
- Enumerated
- 2016-05-04
- Last updated
- 2025-01-27
- Certified
- 2025-01-14
Frequently asked questions
- What is Mara Jackson's NPI number?
- Mara Jackson's National Provider Identifier (NPI) is 1801242284, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mara Jackson's specialty?
- Mara Jackson is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Mara Jackson located?
- Mara Jackson's practice location on file with NPPES is 111 Hundertmark Rd Ste 220, Chaska, MN 55318-1197.
- What is Mara Jackson's phone number?
- The practice phone number listed in the NPPES registry for Mara Jackson is (952) 448-2050.
- Does Mara Jackson accept Medicare?
- Mara Jackson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mara Jackson's NPI active?
- Yes — Mara Jackson's NPI (1801242284) is active in the NPPES registry as of the last update on 2025-01-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.