NPPES file of Aug 9, 2026

Carly Anne Jackson, PA-C

Physician Assistant · Rockford, IL

Carly Anne Jackson, PA-C is a physician assistant with a practice address in Rockford, Illinois, and NPI 1053696971, issued on Oct 12, 2011. Check the license with the Illinois board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1053696971
Name
Carly Anne Jackson
Credential
PA-C
Primary taxonomy
Physician Assistant 363A00000X
Practice location
324 Roxbury RD, Rockford, IL 61107
Phone
(815) 398-9491
Enumerated
Oct 12, 2011
Record last updated
Jun 5, 2014 (not updated in 12 years: call before relying on the address or phone)
Fax
(815) 381-7333
Medicare enrollment
Enrolled (PECOS I20180928001725); accepts Medicare assignment
Medical or professional school
Middlesex University School Of Medicine, 2009
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
Download card Updates feed

Also registered at 324 Roxbury RD

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Kevin Adams, OTROccupational Therapist1043109192
  2. Amy Alderks, OTROccupational Therapist1912273798
  3. Lauren Aubry, DPTPhysical Therapist1164317210
  4. Yahya AyeshPodiatrist1992439657
  5. Brian Bear, MDOrthopaedic Surgery Physician1164535837
  6. Laura Becker Hesch, P.T.Physical Therapist1235274507

Verify Carly Anne Jackson in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Illinois board licenses this professionCheck the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Illinois license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

Is this page about you? You can ask us to correct, restrict or remove it: how.

89% fewer Medicare Part D claims than the average physician assistant in 2024

94 Medicare Part D claims for 64 beneficiaries, against an average of 830 among the 101,058 providers of this specialty who prescribed in Part D. 55 claims were for opioids.

  1. Carly Jackson94
  2. Specialty average830

Most prescribed

  1. Oxycodone Hcl29 claims
  2. Hydrocodone-Acetaminophen22 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

Industry payments in 2024: $16.35

1 payment: food and beverage; the largest payer was Bioventus LLC. The 64,719 providers of this specialty with any payment received $841.65 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Carly Jackson$16.35
  2. Specialty average$841.65

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

One hospital affiliation

  1. Mid-Columbia Medical CenterThe Dalles, OR · Acute Care Hospitals4 of 5 stars

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through); hospitals matched to CMS Hospital General Information (Care Compare) (data.cms.gov). Star ratings are CMS hospital ratings, not ratings of this provider.

Carly Anne Jackson among 4,926 physician assistant records in Illinois

Carly Anne Jackson, PA-C is one of 4,926 physician assistant records with a practice address in Illinois. 82% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2011, is newer than 24% of them.

  • NPI issued2011 · 24% of these records are older, 73% newer
  • In a Medicare fileYes · 82% of these records are
  • In the CMS Doctors and Clinicians fileYes · 69% of these records are
  • Graduated2009 · median 2019 among the 3,407 with a school on file
  • Record last updated2014 · 35% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

115 physician assistant records list a practice address in Rockford

They are 115 of the 3,893 NPPES records with a practice address in Rockford, and 4,926 physician assistant records in Illinois.

The 8 physician assistant records with the nearest ZIP codes

  1. Michael Gilbertson, P.A.-C.Rockford, IL 611071851406870
  2. Leesa Gillooley, PA-CRockford, IL 611071154567964
  3. Daniel Jameson, PA-CRockford, IL 611071376670315
  4. Jason Kadar, P.A.-C.Rockford, IL 611071629121009
  5. Francois Kelso, P.A.-C.Rockford, IL 611071184739294
  6. Christine Larson, PARockford, IL 611071285668723
  7. Joseph Maroney, PA-CRockford, IL 611071063674372
  8. John Moore, PA-CRockford, IL 611071265667083

Common questions

What is Carly Anne Jackson, PA-C's NPI number?

Carly Anne Jackson, PA-C's National Provider Identifier (NPI) is 1053696971, issued on Oct 12, 2011. An NPI identifies a provider in billing; it is not a license.

Where is Carly Anne Jackson, PA-C located?

The NPPES record lists a practice address at 324 Roxbury RD, Rockford, IL, 61107. Phone: (815) 398-9491. Providers update this record themselves, so call before visiting.

How can I verify Carly Anne Jackson, PA-C's license?

Search the Illinois board that licenses this profession; the NPPES record confirms identity only.

How much does Carly Anne Jackson, PA-C prescribe under Medicare Part D?

In 2024, Carly Anne Jackson, PA-C had 94 Medicare Part D claims for 64 beneficiaries; the average among physician assistant prescribers was 830. Part D covers Medicare prescriptions only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.