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

Kerita Jackson, FNP

Individual provider Family Nurse Practitioner · NPI 1497405443

Kerita Jackson, FNP is a Nurse Practitioner in Jamaica, New York. Qualified in 2021, 5 years ago. Practices with Optum Medical Care PC, a 1,018-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2022
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

97-04 Sutphin Blvd
Jamaica, NY 11435-4721
Phone: (718) 657-7088
Fax: (718) 657-7092
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F349347 (NY)

Record details

NPI number1497405443
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedMarch 24, 2022
Last updated in NPPESMarch 24, 2022
Certification dateMarch 24, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Optum Medical Care Pc — 1018 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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