RACINE DOMINIQUE JACKSON NP
NPI 1073216719
Nurse Practitioner - Family in Alexandria, LA
About Racine Dominique Jackson Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RACINE DOMINIQUE JACKSON NP (NPI 1073216719) is an individual family provider in Alexandria, Louisiana, licensed in Louisiana (229255) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, is affiliated with Rapides Regional Medical Center, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Racine Dominique Jackson Np 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.
Medicare Billing Reassignments
3Medicare enrollment records show Racine Jackson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sulphur, LA 70663
- Reassigned Medicare billing, Louisiana enrollment
- 121 clinicians in this Medicare group
Gonzales, LA 70737
- Reassigned Medicare billing, Louisiana enrollment
- 5 clinicians in this Medicare group
Covington, LA 70433
- Reassigned Medicare billing, Louisiana enrollment
- 197 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Rapides Regional Medical Center
Acute Care Hospitals · Alexandria, LAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 71301 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.
ALEXANDRIA, LA 71301
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 Racine Jackson's NPI number?
The NPI number for Racine Jackson is 1073216719. It was assigned to this individual provider in the NPPES registry on March 22, 2023. The provider is also known as Racine Dominique Cunningham.
Where is Racine Jackson located?
Racine Jackson practices at 211 4th St, Alexandria, LA 71301. The listed phone number is (318) 769-3000.
What is Racine Jackson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Racine Jackson enrolled in Medicare?
Yes. Racine Jackson 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.
Which organizations bill Medicare for Racine Jackson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Racine Jackson reassigns Medicare benefits to 3 organizations: Calcasieu Cameron Hospital Medicine Group LLC (Sulphur, LA), Pelican State Outpatient Center - Caro Clinic L. L. C. (Gonzales, LA) and St Tammany Emergency Physicians Group LLC (Covington, LA). 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 Racine Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Racine Jackson accept?
Health plans from AmeriHealth Caritas Next and HMO Louisiana list Racine 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.
Is Racine Jackson affiliated with any hospitals?
According to CMS data, Racine Jackson is affiliated with Rapides Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Racine Jackson was last updated on October 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Racine Dominique Jackson, NP · NPI 1073216719
Family physician in Alexandria, Louisiana. Individual provider, active in the CMS NPPES registry since March 22, 2023.
## Identity
- **NPI:** 1073216719 (Entity type: Individual)
- **Enumerated:** March 22, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 229255 (Louisiana)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 211 4TH ST, Alexandria, LA 71301-8421
- **Phone:** (318) 769-3000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Calcasieu Cameron Hospital Medicine Group LLC (NPI 1659764967, Sulphur, LA); Pelican State Outpatient Center - Caro Clinic L. L. C. (NPI 1467507913, Gonzales, LA); St Tammany Emergency Physicians Group LLC (NPI 1891187654, Covington, LA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** October 5, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1073216719) · Data from the CMS NPPES public registry.