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DR. MAHALIA L JACKSON-BUTLER DNP, APRN
NPI 1063669893
Nurse Practitioner - Primary Care in Bedford, TX

Active since August 22, 2008PECOS EnrolledAccepts Medicare Assignment
2721 CENTRAL DR, BEDFORD, TX 76021(214) 277-2243(214) 231-2926 Get Directions Write a Review

NPPES record last updated: August 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 19, 2024, Jun 5, 2024, Sep 28, 2020 (3 updates tracked since 2020).

About Dr. Mahalia L Jackson-butler Dnp, Aprn NPPES

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

DR. MAHALIA L JACKSON-BUTLER DNP, APRN (NPI 1063669893) is an individual primary care provider in Bedford, Texas, licensed in Texas (AP117597) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1063669893
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameDR. MAHALIA L JACKSON-BUTLERCredential: DNP, APRN
Location Address2721 CENTRAL DRBedford, TX 76021-4810
Mailing Address4621 S Cooper St Ste 131-717Arlington, TX 76017-5866 · (214) 277-2243 · Fax (214) 231-2926
Phone(214) 277-2243
Fax(214) 231-2926
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateAugust 22, 2008
Last NPPES UpdateAugust 27, 20243 updates tracked since enumeration
NPPES CertifiedAugust 27, 2024
✔ NPI 1063669893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in TX · AP117597
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 715590 (TX), AP117597 (TX)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License AP117597 (TX)
2721 CENTRAL DR, Bedford, TX 76021
Open in Google Maps ↗

Other Names 1

Former Name (1)Mrs. Mahalia L Jackson

Other Identifiers 1

Medicaid201844201TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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

Dr. Mahalia L Jackson-butler Dnp, 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 ID3375601339
PECOS Enrollment IDI20090305000738
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 76021 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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 2

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

MEDI- ELITE, PC
Clinic/Center (Primary Care)
2721 CENTRAL DR
BEDFORD, TX 76021
Tarrant County (682) 703-8881
MARIEL ELOISA YUMUL FNP
Nurse Practitioner (Primary Care)
2721 CENTRAL DR
BEDFORD, TX 76021
Tarrant County (682) 703-8881

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 Mahalia Jackson-butler's NPI number?

The NPI number for Mahalia Jackson-butler is 1063669893. It was assigned to this individual provider in the NPPES registry on August 22, 2008. The provider is also known as Mrs. Mahalia L Jackson.

Where is Mahalia Jackson-butler located?

Mahalia Jackson-butler practices at 2721 Central Dr, Bedford, TX 76021. The listed phone number is (214) 277-2243.

What is Mahalia Jackson-butler's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Mahalia Jackson-butler enrolled in Medicare?

Yes. Mahalia Jackson-butler is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mahalia Jackson-butler accept?

Health plans from Blue Cross and Blue Shield of Texas list Mahalia Jackson-butler 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 Mahalia Jackson-butler was last updated on August 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.