MRS. TERRANCE LASHAN JACKSON RN, MSN, PMHNP-BC
NPI 1063241255
Nurse Practitioner - Psychiatric/Mental Health in West Hollywood, CA
About Mrs. Terrance Lashan Jackson Rn, Msn, Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. TERRANCE LASHAN JACKSON RN, MSN, PMHNP-BC (NPI 1063241255) is an individual psychiatric/mental health provider in West Hollywood, California, licensed in California (95032559) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Terrance Lashan Jackson Rn, Msn, Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Terrance Jackson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Jose, CA 95113
- Reassigned Medicare billing, California enrollment
- 3,139 clinicians in this Medicare group
Miami, FL 33130
- Reassigned Medicare billing, Arizona, Michigan and Oregon enrollments
- 532 clinicians in this Medicare group
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 90069 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WEST HOLLYWOOD, CA 90069
WEST HOLLYWOOD, CA 90069
WEST HOLLYWOOD, CA 90069
WEST HOLLYWOOD, CA 90069
WEST HOLLYWOOD, CA 90069
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 Terrance Jackson's NPI number?
The NPI number for Terrance Jackson is 1063241255. It was assigned to this individual provider in the NPPES registry on July 29, 2024.
Where is Terrance Jackson located?
Terrance Jackson practices at 8605 Santa Monica Blvd, West Hollywood, CA 90069. The listed phone number is (310) 488-4351.
What is Terrance Jackson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Terrance Jackson enrolled in Medicare?
Yes. Terrance Jackson is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Terrance Jackson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Terrance Jackson reassigns Medicare benefits to 2 organizations: Grow Healthcare Group PC (San Jose, CA) and Grow Healthcare Group PA (Miami, FL). 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 Terrance Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Terrance Jackson accept?
Health plans from Blue Cross Blue Shield of Arizona, BridgeSpan Health Company, Oscar Health, Regence BlueCross BlueShield of Oregon and UnitedHealthcare list Terrance 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 Terrance Jackson was last updated on March 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Mrs. Terrance Lashan Jackson, RN, MSN, PMHNP-BC · NPI 1063241255
Psychiatric/Mental Health physician in West Hollywood, California. Individual provider, active in the CMS NPPES registry since July 29, 2024.
## Identity
- **NPI:** 1063241255 (Entity type: Individual)
- **Enumerated:** July 29, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 95032559 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 8605 SANTA MONICA BLVD, West Hollywood, CA 90069-4109
- **Phone:** (310) 488-4351
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Grow Healthcare Group PC (NPI 1154994846, San Jose, CA); Grow Healthcare Group PA (NPI 1245845932, Miami, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** March 6, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1063241255) · Data from the CMS NPPES public registry.