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TARA Y. JACKSON CRNP SP020082
NPI 1124583653
Nurse Practitioner - Family in West Chester, PA

Active since February 08, 2019PECOS Enrolled
507 SEEGER LN, WEST CHESTER, PA 19380(267) 378-1743 Get Directions Write a Review

NPPES record last updated: August 1, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 1, 2026, Mar 6, 2019, Feb 8, 2019 (3 updates tracked since 2019).

About Tara Y. Jackson Crnp Sp020082 NPPES

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

TARA Y. JACKSON CRNP SP020082 (NPI 1124583653) is an individual family provider in West Chester, Pennsylvania, licensed in Pennsylvania (SP020082) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in West Chester.

NPPES Registry Identity

NPI1124583653
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTARA Y. JACKSONCredential: CRNP SP020082
Location Address507 SEEGER LNWest Chester, PA 19380-4586
Mailing Address507 Seeger LnWest Chester, PA 19380-4586 · (610) 755-2592
Phone(267) 378-1743
Sole ProprietorNo
Enumeration DateFebruary 8, 2019
Last NPPES UpdateAugust 1, 20263 updates tracked since enumeration
NPPES CertifiedAugust 1, 2026
✔ NPI 1124583653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in PA · SP020082
Also ListedRegistered NurseTaxonomy 163W00000X · License RN527439L (PA)
Also ListedClinical Nurse Specialist · Psychiatric/Mental HealthTaxonomy 364SP0808X · License SP020082 (PA)
507 SEEGER LN, West Chester, PA 19380
Open in Google Maps ↗

Secondary Practice Location 1

Location 1507 Seeger LnWest Chester, PA 19380-4586 · Phone (267) 378-1743

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tara Y. Jackson Crnp Sp020082 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Tara Jackson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical Care Associates Of The University Of Pennsylvania Health
1.2 mi
Hepatology
701 E MARSHALL ST
West Chester, PA 19380
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 983 clinicians in this Medicare group
NPI 1396416251 (610) 431-5000
Signify Health Medical Associates, PLLC
1,275 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 553 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19380 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

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 Tara Jackson's NPI number?

The NPI number for Tara Jackson is 1124583653. It was assigned to this individual provider in the NPPES registry on February 8, 2019.

Where is Tara Jackson located?

Tara Jackson practices at 507 Seeger Ln, West Chester, PA 19380. The listed phone number is (267) 378-1743.

What is Tara Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tara Jackson enrolled in Medicare?

Yes. Tara Jackson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Tara Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tara Jackson reassigns Medicare benefits to 2 organizations: Clinical Care Associates Of The University Of Pennsylvania Health (West Chester, PA) and Signify Health Medical Associates, PLLC (Dallas, TX). 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 Tara Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tara Jackson was last updated on August 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.