MICHELLE EBONG JACKSON-TUCKER APRN
NPI 1053872036
Nurse Practitioner - Family in Salado, TX

Active since March 30, 2019PECOS EnrolledAccepts Medicare Assignment
3525 FM 2484, SALADO, TX 76571(254) 947-7500(254) 947-7521 Get Directions Write a Review

NPPES record last updated: January 30, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 1, 2022, May 11, 2020, Dec 31, 2019 (3 updates tracked since 2019).

About Michelle Ebong Jackson-tucker Aprn NPPES

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

MICHELLE EBONG JACKSON-TUCKER APRN (NPI 1053872036) is an individual family provider in Salado, Texas, licensed in Texas (AP141208) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Killeen, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1053872036
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMICHELLE EBONG JACKSON-TUCKERCredential: APRN
Location Address3525 FM 2484Salado, TX 76571-6169
Mailing AddressPo Box 844658Dallas, TX 75284-4658 · (254) 724-2111
Fax(254) 947-7521
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 30, 2019
Last NPPES UpdateJanuary 30, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2025
NPI 1053872036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TX · AP141208
3525 FM 2484, Salado, TX 76571

Secondary Practice Location 1

Location 14504 Teal DrKilleen, TX 76542-3704 · Phone (281) 777-7144

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 and accepts Medicare assignment

Michelle Ebong Jackson-tucker Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305279290
PECOS Enrollment IDI20191206001688
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.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
224 services47 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
68 services39 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
63 services30 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
47 services37 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
43 services36 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
19 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76571 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
3525 FM 2484
SALADO, TX 76571
Family Medicine
3525 FM 2484
SALADO, TX 76571
Family Medicine
3525 FM 2484
SALADO, TX 76571
Pharmacist
3525 FM 2484
SALADO, TX 76571
Nurse Practitioner (Family)
3525 FM 2484
SALADO, TX 76571
Family Medicine
3525 FM 2484
SALADO, TX 76571
Family Medicine
3525 FM 2484
SALADO, TX 76571
Physician Assistant
3525 FM 2484
SALADO, TX 76571

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053872036, enumerated as an "individual" on March 30, 2019.

The provider is located at 3525 FM 2484 SALADO, TX 76571 and the phone number is (254) 947-7500.

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

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas, Oscar. Please consult your insurance carrier or call the provider to verify.