MRS. TIFFANY R JACKSON NP
NPI 1093066086
Nurse Practitioner in Hastings, MI

Active since October 01, 2012PECOS EnrolledAccepts Medicare Assignment
1108 W STATE ST, SUITE 3, HASTINGS, MI 49058(269) 945-0922(269) 945-4511 Get Directions Write a Review

NPPES record last updated: September 13, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Tiffany R Jackson Np NPPES

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

MRS. TIFFANY R JACKSON NP (NPI 1093066086) is an individual nurse practitioner in Hastings, Michigan, licensed in Michigan (4704240163) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS, is affiliated with Bronson Battle Creek Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1093066086
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. TIFFANY R JACKSONCredential: NP
Location Address1108 W STATE ST, SUITE 3Hastings, MI 49058-9711
Mailing Address100 Michigan St Ne, Mc 845Grand Rapids, MI 49503-2560
Fax(269) 945-4511
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateOctober 1, 2012
Last NPPES UpdateSeptember 13, 2016
NPI 1093066086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MI · 4704240163
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1108 W STATE ST, Hastings, MI 49058

Other Names 1

Former Name (1)Tiffany Sparks

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

Mrs. Tiffany R 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 ID9335376946
PECOS Enrollment IDI20131205000687
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 6

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

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.
38 services32 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
30 services22 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
24 services24 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
22 services22 patients
Urine microalbumin (protein) level 82043
The urine microalbumin level test measures the amount of a protein called albumin in your urine. This test helps to detect early signs of kidney damage. High levels of albumin may suggest your kidneys aren't functioning properly. It's a simple, non-invasive test that involves providing a urine sample.
14 services14 patients
Creatinine level to test for kidney function or muscle injury 82570
A creatinine level test measures the amount of creatinine in your blood. This substance is a waste product from normal muscle use. Higher levels can indicate possible kidney dysfunction or muscle injury. This test helps monitor kidney health.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Bronson Battle Creek Hospital

Acute Care Hospitals · Battle Creek, MI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number230075
Location300 North AvenueBattle Creek, MI 49017 · Calhoun County
Emergency services Birthing friendly

Corewell Health Pennock Hospital

Critical Access Hospitals · Hastings, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number231339
Location1009 W Green StHastings, MI 49058 · Barry County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49058 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier18 claims18 services$2.71 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers43 claims43 services$67.49 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers24 claims24 services$29.61 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers17 claims17 services$185.14 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$27.50 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

Nurse Practitioner
1108 W STATE ST, SUITE 3
HASTINGS, MI 49058
Physician Assistant
1108 W STATE ST
HASTINGS, MI 49058
Physician Assistant
1108 W STATE ST
HASTINGS, MI 49058
Clinic/Center (Rural Health)
1108 W STATE ST, SUITE 3
HASTINGS, MI 49058
Family Medicine
1108 W STATE ST
HASTINGS, MI 49058
Nurse Practitioner (Family)
1108 W STATE ST
HASTINGS, MI 49058
Obstetrics & Gynecology
1108 W STATE ST, SUITE 3
HASTINGS, MI 49058
Obstetrics & Gynecology
1108 W STATE ST, SUITE 3
HASTINGS, MI 49058

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 Tiffany Jackson's NPI number?

The NPI number for Tiffany Jackson is 1093066086. It was assigned to this individual provider in the NPPES registry on October 1, 2012. The provider is also known as Tiffany Sparks.

Where is Tiffany Jackson located?

Tiffany Jackson practices at 1108 W State St Suite 3, Hastings, MI 49058. The listed phone number is (269) 945-0922.

What is Tiffany Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Tiffany Jackson enrolled in Medicare?

Yes. Tiffany 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.

Is Tiffany Jackson affiliated with any hospitals?

According to CMS data, Tiffany Jackson is affiliated with Bronson Battle Creek Hospital and Corewell Health Pennock Hospital.

When was this NPI record last updated?

The NPPES record for Tiffany Jackson was last updated on September 13, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.