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TIFFANY JACKSON FNP-C
NPI 1124410022
Nurse Practitioner in Pearl, MS

Active since March 02, 2015PECOS EnrolledAccepts Medicare Assignment
404 RIVERWIND DR STE B-1, PEARL, MS 39208(601) 623-9245(601) 623-9246 Get Directions Write a Review

NPPES record last updated: April 19, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 19, 2021, Jul 12, 2016 (2 updates tracked since 2016).

About Tiffany Jackson Fnp-c NPPES

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

TIFFANY JACKSON FNP-C (NPI 1124410022) is an individual nurse practitioner in Pearl, Mississippi, licensed in Mississippi (F0115051) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1124410022
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameTIFFANY JACKSONCredential: FNP-C
Location Address404 RIVERWIND DR STE B-1Pearl, MS 39208-5900
Mailing AddressPo Box 495Jackson, MS 39205-0495 · (601) 623-9245 · Fax (601) 623-9246
Phone(601) 623-9245
Fax(601) 623-9246
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 2, 2015
Last NPPES UpdateApril 19, 20212 updates tracked since enumeration
NPPES CertifiedApril 19, 2021
✔ NPI 1124410022 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 MS · F0115051
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.
404 RIVERWIND DR STE B-1, Pearl, MS 39208
Open in Google Maps ↗

Other Identifiers 1

Medicaid07833786MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health 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

Tiffany Jackson Fnp-c 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 ID941697601
PECOS Enrollment IDI20220427001469
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 39208 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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

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

KIDS FIRST PEDIATRIC & ADULT MEDICINE, LLC
Clinical Nurse Specialist (Family Health)
404 RIVERWIND DR STE B-1
PEARL, MS 39208
Rankin County (601) 623-9245

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 1124410022. It was assigned to this individual provider in the NPPES registry on March 2, 2015.

Where is Tiffany Jackson located?

Tiffany Jackson practices at 404 Riverwind Dr Ste B-1, Pearl, MS 39208. The listed phone number is (601) 623-9245.

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.

What insurance does Tiffany Jackson accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Tiffany 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.

When was this NPI record last updated?

The NPPES record for Tiffany Jackson was last updated on April 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.