Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Christopher H Jackson, PA-C

Individual provider Physician Assistant · NPI 1063524155

Christopher H Jackson, PA-C is a Physician Assistant in Indian Lake, New York. Graduated from University of Nebraska College of Medicine in 1997, 29 years ago. Practices with Hudson Headwaters Health Network, a 218-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
29
Trained at
University of Nebraska College of Medicine
Licensed in
NY
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

6356 Nys Route 30
Indian Lake, NY 12842-2021
Phone: (518) 648-5707
Fax: (518) 648-6160
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 126 Ski Bowl Rd, North Creek, NY 12853-2607 — (518) 251-2541

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 006846 (NY)

Record details

NPI number1063524155
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 31, 2006
Last updated in NPPESDecember 29, 2025
Certification dateDecember 29, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated 1997 (29 years in practice)
Group practice Hudson Headwaters Health Network — 218 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Indian Lake