Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dana A Jackson, PA-C

Individual provider Physician Assistant · NPI 1235692112

Dana A Jackson, PA-C is a Physician Assistant in Great Bend, Kansas. Qualified in 2019, 7 years ago. Practices with Ukhs Great Bend LLC, a 63-clinician group and accepts Medicare assignment. Licensed in Kansas and Nebraska.

Years since qualifying
7
Licensed in
KS, NE
In the registry since
2019
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1514 Ks Hwy 96
Great Bend, KS 67530
Phone: (402) 770-8575
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 15-02445 (KS)
Physician Assistant Taxonomy 363A00000X · Licence 2366 (NE)

Record details

NPI number1235692112
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 9, 2019
Last updated in NPPESOctober 17, 2023
Certification dateOctober 16, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Ukhs Great Bend Llc — 63 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Great Bend