Kaili Anne Jackson, AGNP-C
Kaili Anne Jackson, AGNP-C is a Nurse Practitioner in Niskayuna, New York. Qualified in 2025, 1 year ago. Practices with Community Care Physicians PLLC, a 364-clinician group and accepts Medicare assignment. Licensed in New York.
- Years since qualifying
- 1
- Licensed in
- NY
- In the registry since
- 2026
Practice location Address checks out
2546 Balltown Rd Ste 200Niskayuna, NY 12309-1079
Phone: (518) 374-1444
Fax: (518) 374-0491
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Health Nurse Practitioner (primary) | Taxonomy 363LA2200X · Licence F312706-01 (NY) |
|---|
Record details
| NPI number | 1649123639 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | AGNP-C |
| Sole proprietor | No |
| NPI enumerated | February 18, 2026 |
| Last updated in NPPES | March 3, 2026 |
| Certification date | March 3, 2026 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2025 (1 years in practice) |
| Group practice | Community Care Physicians Pllc — 364 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Niskayuna
-
C Miller Adult Health NP PLLC
1499 Keyes Ave, Niskayuna, NY 12309-5226 · (617) 838-5375