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

Q: 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.

Q: What is T Jackson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for T Jackson was last updated on December 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.

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: December 23, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 23, 2025, Aug 2, 2024, Dec 20, 2018 (3 updates tracked since 2018).

On this page

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 UpdateDecember 23, 20253 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, and ordering and referring status from the CMS PECOS system.

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.

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.

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 December 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.