RACINE DOMINIQUE JACKSON NP
NPI 1073216719
Nurse Practitioner - Family in Alexandria, LA

Active since March 22, 2023PECOS EnrolledAccepts Medicare Assignment
211 4TH ST, ALEXANDRIA, LA 71301(318) 769-3000 Get Directions Write a Review

NPPES record last updated: October 5, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1073216719
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameRACINE DOMINIQUE JACKSONCredential: NP
Location Address211 4TH STAlexandria, LA 71301-8421
Mailing Address2525 W Orice Roth Rd Apt 1510Gonzales, LA 70737-5336 · (225) 348-3997
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 22, 2023
Last NPPES UpdateOctober 5, 2025
NPPES CertifiedOctober 5, 2025
NPI 1073216719 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 LA · 229255
211 4TH ST, Alexandria, LA 71301

Other Names 1

Former Name (1)Racine Dominique Cunningham

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

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.

PECOS PAC ID5092169474
PECOS Enrollment IDI20231004001283
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Rapides Regional Medical Center

Acute Care Hospitals · Alexandria, LA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number190026
Location211 4th StreetAlexandria, LA 71301 · Rapides County
Emergency services Birthing friendly

Avoyelles Hospital

Acute Care Hospitals · Marksville, LA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number190099
Location4231 Highway 1192Marksville, LA 71351 · Avoyelles County
Emergency services

Physician 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.

New Patient
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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 20

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

Anesthesiology
211 4TH ST
ALEXANDRIA, LA 71301
Nurse Practitioner (Family)
211 4TH ST
ALEXANDRIA, LA 71301
Obstetrics & Gynecology
211 4TH ST
ALEXANDRIA, LA 71301
Emergency Medicine
211 4TH ST
ALEXANDRIA, LA 71301
Radiology (Diagnostic Radiology)
211 4TH ST
ALEXANDRIA, LA 71301
Nurse Anesthetist, Certified Registered
211 4TH ST
ALEXANDRIA, LA 71301
Nurse Anesthetist, Certified Registered
211 4TH ST
ALEXANDRIA, LA 71301
Nurse Practitioner (Gerontology)
211 4TH ST
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.

What insurance does Racine Jackson accept?

Health plans from AmeriHealth Caritas Next 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 and Avoyelles Hospital.

When was this NPI record last updated?

The NPPES record for Racine Jackson was last updated on October 5, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.