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MS. DEBRA LYNN JACKLEY AGACNP
NPI 1104475482
Nurse Practitioner - Acute Care in Tucson, AZ

Active since September 09, 2019PECOS EnrolledAccepts Medicare Assignment
79.33/100
CMS Quality Rating
2404 E RIVER RD STE 251, TUCSON, AZ 85718(520) 838-3540(520) 325-3526 Get Directions Write a Review

NPPES record last updated: November 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 15, 2022, Sep 9, 2019 (2 updates tracked since 2019).

About Ms. Debra Lynn Jackley Agacnp NPPES

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

MS. DEBRA LYNN JACKLEY AGACNP (NPI 1104475482) is an individual acute care provider in Tucson, Arizona, licensed in Arizona (137103) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Tucson, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1104475482
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMS. DEBRA LYNN JACKLEYCredential: AGACNP
Location Address2404 E RIVER RD STE 251Tucson, AZ 85718-6523
Mailing Address555 E River Rd Ste 101Tucson, AZ 85704-5843 · (520) 838-3540 · Fax (520) 325-3526
Phone(520) 838-3540
Fax(520) 325-3526
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 9, 2019
Last NPPES UpdateNovember 15, 20222 updates tracked since enumeration
NPPES CertifiedNovember 15, 2022
✔ NPI 1104475482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in AZ · 137103
2404 E RIVER RD STE 251, Tucson, AZ 85718
Open in Google Maps ↗

Secondary Practice Location 1

Location 1350 N Wilmot RdTucson, AZ 85711-2602 · Phone (520) 873-3077

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and more.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

Ms. Debra Lynn Jackley Agacnp 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 ID9133451081
PECOS Enrollment IDI20191028000603
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 8

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.
201 services171 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
50 services33 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
49 services40 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
44 services44 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
22 services21 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85718 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.94
Promoting Interoperability83
Improvement Activities40
Cost66.34

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
5 suppliers34 claims34 services$13.92 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
5 suppliers34 claims34 services$61.80 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 3

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

JOHNICE BARAJAS FNP
Nurse Practitioner
2404 E RIVER RD STE 251
TUCSON, AZ 85718
Pima County (520) 838-3540
PIMA HEART PHYSICIANS PC
Surgery (Vascular Surgery)
2404 E RIVER RD STE 251
TUCSON, AZ 85718
Pima County (520) 838-3540
KATHRYN LUCIO PA-C
Physician Assistant
2404 E RIVER RD STE 251
TUCSON, AZ 85718
Pima County (520) 838-3540

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 Debra Jackley's NPI number?

The NPI number for Debra Jackley is 1104475482. It was assigned to this individual provider in the NPPES registry on September 9, 2019.

Where is Debra Jackley located?

Debra Jackley practices at 2404 E River Rd Ste 251, Tucson, AZ 85718. The listed phone number is (520) 838-3540.

What is Debra Jackley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Debra Jackley enrolled in Medicare?

Yes. Debra Jackley 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 Debra Jackley accept?

Health plans from Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and Oscar Insurance Company list Debra Jackley 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 Debra Jackley was last updated on November 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.