BOBBIE JACKSON MSN, APRN, AGACNP-BC
NPI 1568055481
Nurse Practitioner - Acute Care in Roanoke, VA
NPI Status: Active since February 12, 2021
Contact Information
2001 CRYSTAL SPRING AVE SW
ROANOKE, VA
ZIP 24014
Phone: (540) 853-0100
Fax: (540) 342-9308
- Individual
- Male
- Nurse Practitioner
- Acute Care
- Accepts Insurance
- PECOS Enrolled
About BOBBIE JACKSON
This page provides the complete NPI Profile along with additional information for Bobbie Jackson, a provider established in Roanoke, Virginia with a medical specialization in Nurse Practitioner, focusing in acute care . The healthcare provider is registered in the NPI registry with number 1568055481 assigned on February 2021. The practitioner's primary taxonomy code is 363LA2100X with license number 0024190222 (VA). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1568055481
- Provider Name
- BOBBIE JACKSON MSN, APRN, AGACNP-BC
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2001 CRYSTAL SPRING AVE SW ROANOKE, VA 24014
- Location Phone
- (540) 853-0100
- Location Fax
- (540) 342-9308
- Mailing Address
- 213 S JEFFERSON ST STE 1006 ROANOKE, VA 24011
- Mailing Phone
- (540) 224-5705
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-12-2021
- Last Update Date
- 06-21-2024
- Code Navigator
A nurse practitioner (NP) like Bobbie Jackson is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Acute Care
- Taxonomy Code
- 363LA2100X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 0024190222
- License State
- VA
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363LA2100X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 1029618 (TX) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- Blue Advantage Plus Gold? 803 - POS
- Blue Advantage Plus Gold? Standard - POS
- Blue Advantage Plus Silver? 202 - POS
- Blue Advantage Plus Silver? 605 - POS
- Blue Advantage Plus Silver? Standard - POS
- Blue Advantage Security HMO? 200 - HMO
- Blue Advantage Silver HMO? 205 - HMO
- Blue Advantage Silver HMO? 801 - HMO
- Blue Advantage Silver HMO? Standard - HMO
- MyBlue Health Bronze? 402 - HMO
- Connect Bronze 5500 Indiv Med Deductible - HMO
- Connect Bronze 6000 Indiv Med Deductible - HMO
- Connect Bronze 6500 Indiv Med Deductible Enhanced Diabetes Care - HMO
- Connect Bronze 8500 Indiv Med Deductible - HMO
- Connect Bronze CMS Standard - HMO
- Connect Bronze DFW 6500 Indiv Med Deductible Enhanced Diabetes Care - HMO
- Connect Gold 1000 Indiv Med Deductible - HMO
- Connect Gold 2500 Indiv Med Deductible Enhanced Diabetes Care - HMO
- Connect Gold 3250 Indiv Med Deductible - HMO
- Connect Gold 3500 Indiv Med Deductible - HMO
- Connect Gold CMS Standard - HMO
- Connect Silver 3000 Indiv Med Deductible - HMO
- Connect Silver 4000 Indiv Med Deductible - HMO
- Connect Silver CMS Standard - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 12 - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
- Bronze Classic 4700 - EPO
- Bronze Classic Standard - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Gold Classic - EPO
- Gold Classic Guided Care - HMO
- Gold Classic Standard - EPO
- Gold Classic Standard Guided Care - HMO
- Gold Elite - EPO
- Gold Simple Guided Care - HMO
- Silver Classic - EPO
- Silver Classic Standard - EPO
- Silver Classic Standard Guided Care - HMO
- Silver Simple Chronic Care CKM Guided Care - HMO
- Silver Simple Diabetes Guided Care - HMO
- Silver Simple Guided Care - HMO
- Silver Simple PCP Saver - EPO
- Silver Simple PCP Saver Guided Care - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Bobbie Jackson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Critical care, first 30-74 minutes
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
This service was performed 32 times for 20 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 24014 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $86.88
- Minimum New Patient Price $56.19
- Maximum New Patient Price $170.3
- Average New Patient Copayment $21.72
- Minimum New Patient Copayment $14.04
- Maximum New Patient Copayment $42.57
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $99.13
- Minimum Established Patient Price $18.07
- Maximum Established Patient Price $138.91
- Average Established Patient Copayment $24.78
- Minimum Established Patient Copayment $4.51
- Maximum Established Patient Copayment $34.72
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for BOBBIE JACKSON MSN, APRN, AGACNP-BC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 6 | 8 | 0 | 5 | 5 | 4 | 8 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 12 | 8 | 0 | 5 | 10 | 4 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 2 + 8 + 0 + 5 + 1 + 0 + 4 + 1 + 6 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1568055481 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1811978885 | DEBORAH D DEMICCO M.D. Individual | Internal Medicine (Infectious Disease) | 2001 CRYSTAL SPRING AVE SW SUITE 301 ROANOKE, VA 24014 (540) 981-7165 |
| 1780666727 | DR. KEVIN F DUCEY MD Individual | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2001 CRYSTAL SPRING AVE SW STE 201 ROANOKE, VA 24014 (540) 344-5781 |
| 1306828348 | DAVID CHRISTOPHER WELLS MD Individual | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2001 CRYSTAL SPRING AVE SW STE 201 ROANOKE, VA 24014 (540) 344-5781 |
| 1750363792 | DR. BRIAN M STRAIN MD Individual | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2001 CRYSTAL SPRING AVE SW ROANOKE, VA 24014 (540) 344-5781 |
| 1003898040 | JOSEPH W BAKER MD Individual | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2001 CRYSTAL SPRING AVE SW ROANOKE, VA 24014 (540) 344-5781 |
| 1598747123 | DOROTHY GARNER M.D. Individual | Internal Medicine (Infectious Disease) | 2001 CRYSTAL SPRING AVE SW SUITE 301 ROANOKE, VA 24014 (540) 981-7715 |
| 1023091295 | JEAN A SMITH M.D. Individual | Internal Medicine (Infectious Disease) | 2001 CRYSTAL SPRING AVE SW SUITE 301 ROANOKE, VA 24014 (540) 981-7715 |
| 1598749632 | DAVID TRINKLE MD Individual | Psychiatry & Neurology (Geriatric Psychiatry) | 2001 CRYSTAL SPRING AVE SW SUITE 302 ROANOKE, VA 24014 (540) 981-7653 |
| 1750365813 | SOHEIR BOSHRA MD Individual | Family Medicine | 2001 CRYSTAL SPRING AVE SW SUITE 302 ROANOKE, VA 24014 (540) 981-7653 |
| 1245293281 | MARK WERNER MD Individual | Pediatrics | 2001 CRYSTAL SPRING AVE SW STE. 203 ROANOKE, VA 24014 (540) 853-0755 |
| 1538374038 | JOHN P KAUFMAN MD PC Organization | Dermatology | 2001 CRYSTAL SPRING AVE SW #204 ROANOKE, VA 24014 (540) 981-9367 |
| 1427253178 | MS. TERRI HARVEY BRYANT RPH Individual | Pharmacist | 2001 CRYSTAL SPRING AVE SW SUITE 110 ROANOKE, VA 24014 (540) 853-0905 |
| 1255494332 | AUBREY LEE KNIGHT M.D. Individual | Family Medicine (Geriatric Medicine) | 2001 CRYSTAL SPRING AVE SW SUITE 302 ROANOKE, VA 24014 (540) 981-7653 |
| 1467895227 | LEAH W MAYNE LCSW Individual | Social Worker (Clinical) | 2001 CRYSTAL SPRING AVE SW SUITE 302 ROANOKE, VA 24014 (540) 981-7653 |
| 1619073491 | DR. EDMUNDO RAUL RUBIO MD Individual | Internal Medicine (Pulmonary Disease) | 2001 CRYSTAL SPRING AVE SW SUITE 205 ROANOKE, VA 24014 (540) 985-8505 |
| 1053644245 | MRS. CARMEN HELENE SALMON PA-C Individual | Physician Assistant | 2001 CRYSTAL SPRING AVE SW SUITE 201 ROANOKE, VA 24014 (540) 853-0100 |
| 1396749255 | DR. KRISH RAMACHANDRAN M.D. Individual | Internal Medicine (Cardiovascular Disease) | 2001 CRYSTAL SPRING AVE SW STE 300 ROANOKE, VA 24014 (540) 342-7941 |
| 1558361634 | RODNEY SAVAGE M.D. Individual | Internal Medicine (Interventional Cardiology) | 2001 CRYSTAL SPRING AVE SW SUITE 203 ROANOKE, VA 24014 (540) 982-8204 |
| 1255435293 | DR. JASON FOERST M.D. Individual | Internal Medicine (Interventional Cardiology) | 2001 CRYSTAL SPRING AVE SW SUITE 203 ROANOKE, VA 24014 (540) 982-8204 |
| 1467452599 | ERIC WILLIAMS M.D. Individual | Internal Medicine (Interventional Cardiology) | 2001 CRYSTAL SPRING AVE SW SUITE 203 ROANOKE, VA 24014 (540) 982-8204 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1568055481, enumerated in the NPI registry as an "individual" on February 12, 2021
The provider is located at 2001 Crystal Spring Ave Sw Roanoke, Va 24014 and the phone number is (540) 853-0100
The provider's speciality is Nurse Practitioner with taxonomy code 363LA2100X with a focus in Acute Care
The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas, Cigna. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $86.88 with an average copayment of $21.72 for new patient appointments. Established patients should expect a typical charge of $99.13 and an average copayment of 24.78. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Critical care, first 30-74 minutes.
This NPI record was last updated on February 12, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.