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: December 23, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 23, 2025, Aug 2, 2024, Dec 20, 2018 (3 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
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

Other Names 1

Former Name (1)Tracey Soper Aprn

Accepted 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

The NPI number assigned to this healthcare provider is 1033681655, enumerated as an "individual" on December 20, 2018.

The provider is located at 713 MILTON BLUFF LANE HOLLY SPRINGS, NC 27540 and the phone number is (984) 332-7015.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: UnitedHealthcare. Please consult your insurance carrier or call the provider to verify.