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TANYA LYNN JACKSON FNP-BC
NPI 1205132206
Nurse Practitioner - Family in Gleason, TN

Active since February 08, 2011PECOS Enrolled
105 N CEDAR ST, GLEASON, TN 38229(731) 648-5634(731) 648-9155 Get Directions Write a Review

NPPES record last updated: October 31, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Tanya Lynn Jackson Fnp-bc NPPES

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

TANYA LYNN JACKSON FNP-BC (NPI 1205132206) is an individual family provider in Gleason, Tennessee, licensed in Tennessee (15540) and active in the NPI registry since February 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205132206
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTANYA LYNN JACKSONCredential: FNP-BC
Location Address105 N CEDAR STGleason, TN 38229-7264
Mailing Address205 Hospital Dr, Suite AMc Kenzie, TN 38201-1649 · (731) 352-7907 · Fax (731) 352-4459
Phone(731) 648-5634
Fax(731) 648-9155
Sole ProprietorNo
Enumeration DateFebruary 8, 2011
Last NPPES UpdateOctober 31, 2024
NPPES CertifiedOctober 31, 2024
✔ NPI 1205132206 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 TN · 15540
105 N CEDAR ST, Gleason, TN 38229
Open in Google Maps ↗

Other Identifiers 2

Other3380640TN · Medicare Group
Other3380640TN · Medicaid Group

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tanya Lynn Jackson Fnp-bc 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 Reassignment

Medicare enrollment records show Tanya Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mckenzie Medical Center, PC
7.2 mi
Rural Health
811 MORROW ST STE 207
Dresden, TN 38225
  • Reassigned Medicare billing, Tennessee enrollment
  • 29 clinicians in this Medicare group
NPI 1609101534 (731) 364-4900

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

Areas of Expertise CMS Part B claims 4

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.

Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
72 services39 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
57 services48 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
46 services21 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
40 services34 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38229 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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 10

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers43 claims109 services$6.04 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers15 claims15 services$115.50 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers13 claims36 services$44.22 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
5 suppliers11 claims11 services$24.09 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
5 suppliers21 claims21 services$21.48 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
6 suppliers22 claims127 services$2.91 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 2

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

MCKENZIE MEDICAL CENTER, PC
Clinic/Center (Rural Health)
105 N CEDAR ST
GLEASON, TN 38229
Weakley County (731) 648-5634
CLAYTON JAMES KING PA-C
Physician Assistant
105 N CEDAR ST
GLEASON, TN 38229
Weakley County (731) 648-5634

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 Tanya Jackson's NPI number?

The NPI number for Tanya Jackson is 1205132206. It was assigned to this individual provider in the NPPES registry on February 8, 2011.

Where is Tanya Jackson located?

Tanya Jackson practices at 105 N Cedar St, Gleason, TN 38229. The listed phone number is (731) 648-5634.

What is Tanya Jackson's specialty?

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

Is Tanya Jackson enrolled in Medicare?

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

Which organization bills Medicare for Tanya Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tanya Jackson reassigns Medicare benefits to Mckenzie Medical Center, PC (Dresden, TN). The 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 Tanya Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tanya Jackson accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 3 other insurers list Tanya 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 Tanya Jackson was last updated on October 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.