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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

T JACKSON APRN
NPI 1033681655
Nurse Practitioner - Family in Holly Springs, NC

Active since December 20, 2018PECOS Enrolled
713 MILTON BLUFF LANE, HOLLY SPRINGS, NC 27540(984) 332-7015 Get Directions Write a Review

NPPES record last updated: October 18, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 18, 2026, Dec 23, 2025, Aug 2, 2024 and 1 more (4 updates tracked since 2018).

About T Jackson Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

T JACKSON APRN (NPI 1033681655) is an individual family provider in Holly Springs, North Carolina, licensed in North Carolina (5020358) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033681655
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameT JACKSONCredential: APRN
Location Address713 MILTON BLUFF LANEHolly Springs, NC 27540-4503
Mailing Address713 Milton Bluff LaneHolly Springs, NC 27540-4503 · (984) 332-7015
Phone(984) 332-7015
Sole ProprietorNo
Enumeration DateDecember 20, 2018
Last NPPES UpdateOctober 18, 20264 updates tracked since enumeration
NPPES CertifiedDecember 23, 2025
✔ NPI 1033681655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NC · 5020358
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 5020358 (NC)
713 MILTON BLUFF LANE, Holly Springs, NC 27540
Open in Google Maps ↗

Other Names 1

Former Name (1)Tracey Soper Aprn

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

T Jackson Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show T Jackson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Adventist Health System /Sunbelt, Inc.
442 mi
Family Medicine
5851 STATE HIGHWAY 100 E STE A
Palm Coast, FL 32164
  • Reassigned Medicare billing, Florida enrollment
  • 284 clinicians in this Medicare group
NPI 1548152077 (386) 246-8130
Wound Technology Network Inc
512 mi
Infectious Disease
5979 VINELAND RD STE 109
Orlando, FL 32819
  • Reassigned Medicare billing, Florida enrollment
  • 208 clinicians in this Medicare group
NPI 1962601393 (954) 923-7440
Dispatchhealth-Florida Inc.
565 mi
Emergency Medicine
5421 BEAUMONT CENTER BLVD STE 660
Tampa, FL 33634
  • Reassigned Medicare billing, Florida enrollment
  • 132 clinicians in this Medicare group
NPI 1407472723 (813) 551-1015
Hospitalist Medicine Physicians Of California, Inc
2,164 mi
Internal Medicine
18300 US HIGHWAY 18
Apple Valley, CA 92307
  • Reassigned Medicare billing, California enrollment
  • 914 clinicians in this Medicare group
NPI 1184663965 (760) 946-4233

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27540 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier14 claims14 services$33.59 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is T Jackson's NPI number?

The NPI number for T Jackson is 1033681655. It was assigned to this individual provider in the NPPES registry on December 20, 2018. The provider is also known as Tracey Soper Aprn.

Where is T Jackson located?

T Jackson practices at 713 Milton Bluff Lane, Holly Springs, NC 27540. The listed phone number is (984) 332-7015.

What is T Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is T Jackson enrolled in Medicare?

Yes. T Jackson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for T Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), T Jackson reassigns Medicare benefits to 4 organizations: Adventist Health System /Sunbelt, Inc. (Palm Coast, FL), Wound Technology Network Inc (Orlando, FL), Dispatchhealth-Florida Inc. (Tampa, FL) and Hospitalist Medicine Physicians Of California, Inc (Apple Valley, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for T Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does T Jackson accept?

Health plans from UnitedHealthcare list T Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for T Jackson was last updated on October 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.