Kristina M. Jackowiak, PA-C
NPI 1043551401ActiveIndividual· Physician Assistant· Goshen, IN
Physician Assistant (PA-C) with Goshen Health System Inc, practicing in Goshen, Indiana. In 2024 Medicare paid $12,013 for 152 patients, and Part D covered 227 of their prescriptions, 89% of them generic. Lists Goshen Hospital as a hospital affiliation.
Overview
| NPI | 1043551401 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Mar 11, 2013 |
| Last updated in NPPES | Apr 21, 2023 |
| Certified by provider | Apr 21, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (IN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 152 |
|---|---|
| Services billed | 317 across 36 procedure codes |
| Paid by Medicare | $12,013 |
Part D prescriptions in 2024
| Prescriptions (claims) | 227 · 227 30-day fills |
|---|---|
| Patients | 155 |
| Total drug cost | $2,176 |
| Generic share | 89% of claims |
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Goshen Health System IncGoshen, IN · 138 clinicians
Hospital affiliation
- Goshen HospitalGoshen, IN
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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