Kaylyn A. Jackson, PA
Physician Assistant · Roanoke, VA
Kaylyn A. Jackson, PA is a physician assistant with a practice address in Roanoke, Virginia, and NPI 1104283365, issued on Jan 19, 2016. Check the license (Virginia 0110005201, as entered in NPPES) with the Virginia board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Kaylyn A. Jackson
- Credential
- PA
- Primary taxonomy
- Physician Assistant 363A00000X
- License numbers
- 0110005201 VA
0110-005201 VA
5601011711 MI
Self-reported in NPPES; status is on the state search - Practice location
- 2001 Crystal Spring Ave SW Ste 201, Roanoke, VA 24014
- Phone
- (540) 853-0100
- Enumerated
- Jan 19, 2016
- Record last updated
- Aug 15, 2025
- Medicaid ID
- 1104283365 VA
- Medicare enrollment
- Enrolled (PECOS I20160422002048); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 4,408 in Virginia → Look up another NPI →
Also registered at 2001 Crystal Spring Ave SW Ste 201
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Kaylyn A. Jackson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Virginia board licenses this profession
Search for license 0110005201Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $21.31
1 payment: food and beverage; the largest payer was Edwards Lifesciences Corporation. 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.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
One hospital affiliation
- Carilion Medical CenterRoanoke, VA · Acute Care Hospitals3 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.
Kaylyn A. Jackson among 4,408 physician assistant records in Virginia
Kaylyn A. Jackson, PA is one of 4,408 physician assistant records with a practice address in Virginia. 78% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2016, is newer than 41% of them.
- NPI issued2016 · 41% of these records are older, 55% newer
- In a Medicare fileYes · 78% of these records are
- In the CMS Doctors and Clinicians fileYes · 66% of these records are
- Graduated2015 · median 2018 among the 2,885 with a school on file
- Record last updated2025 · 33% 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 Virginia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
299 physician assistant records list a practice address in Roanoke
They are 299 of the 5,303 NPPES records with a practice address in Roanoke, and 4,408 physician assistant records in Virginia.
All 4,408 in Virginia → Every provider in Roanoke → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Jason Pearce Beissinger, PA-CRoanoke, VA 240141518914290
- Marie Creech, PARoanoke, VA 240141235192048
- Robert Franklin, PARoanoke, VA 240141073583225
- Elsie Griffin, PARoanoke, VA 240141144293085
- Kristy Hayes, PA-CRoanoke, VA 240141578648580
- Joseph Howell, PA-CRoanoke, VA 240141649271461
- Albert Manville, PARoanoke, VA 240141912971862
- Amy Ostermann, PA-CRoanoke, VA 240141912980491
Common questions
What is Kaylyn A. Jackson, PA's NPI number?
Kaylyn A. Jackson, PA's National Provider Identifier (NPI) is 1104283365, issued on Jan 19, 2016. An NPI identifies a provider in billing; it is not a license.
Where is Kaylyn A. Jackson, PA located?
The NPPES record lists a practice address at 2001 Crystal Spring Ave SW Ste 201, Roanoke, VA, 24014. Phone: (540) 853-0100. Providers update this record themselves, so call before visiting.
How can I verify Kaylyn A. Jackson, PA's license?
NPPES lists Virginia license number 0110005201, as entered by the provider. Search the Virginia board that licenses this profession; the NPPES record confirms identity 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.