Doctor profile · Federal record
Dr. Karissa Jackson, ACNPC-Ag
Acute Care Nurse Practitioner · Park City, UT
- NPI 1164055109
- 6 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1776 Park Ave Ste 211
Park City, UT 840605148
(385) 464-3980
fax (385) 464-3990
Credentials & registration
- NPI registered
- February 2020 — 6 yrs on file
- Profile last updated
- June 2, 2024
- Specialty taxonomy
- 363LA2100X — NUCC code
- State license (1)
- Utah #7120828-4405
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1164055109. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$43
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| MERZ NORTH AMERICA, INC. | 1 | $26.24 | |
| SHIELD THERAPEUTICS INC | 1 | $16.85 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
30
Patients
0
Total drug cost
$1,227
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Estradiol | Generic | 15 | 0 | $416 |
| Testosterone Cypionate | Generic | 15 | 0 | $811 |
Frequently asked questions
What is Dr. Karissa Jackson's medical specialty?
Dr. Karissa Jackson practices Acute Care Nurse Practitioner in Park City, UT.
Where does Dr. Karissa Jackson practice?
Dr. Karissa Jackson practices at 1776 Park Ave Ste 211, Park City, UT 840605148. Office phone: 3854643980.
What is Dr. Karissa Jackson's NPI?
Dr. Karissa Jackson's National Provider Identifier (NPI) is 1164055109, issued by NPPES.