TAYLOR BUCHANAN JACKSON FNP
NPI 1205292455
Nurse Practitioner in San Diego, CA

Q: What is Taylor Jackson's NPI number?

The NPI number for Taylor Jackson is 1205292455. It was assigned to this individual provider in the NPPES registry on January 4, 2016.

Q: What is Taylor Jackson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Taylor Jackson was last updated on July 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since January 04, 2016PECOS EnrolledAccepts Medicare Assignment

4510 EXECUTIVE DR STE 215, SAN DIEGO, CA 92121(858) 657-6624 Get Directions Write a Review

NPPES record last updated: July 24, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 24, 2024, Jul 10, 2022, May 1, 2018 and 1 more (4 updates tracked since 2016).

On this page

About Taylor Buchanan Jackson Fnp NPPES

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

TAYLOR BUCHANAN JACKSON FNP (NPI 1205292455) is an individual nurse practitioner in San Diego, California, licensed in North Carolina (5017962) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS, is affiliated with Novant Health New Hanover Regional Medical Center, and maintains a secondary practice location in Wilmington.

NPPES Registry Identity

NPI1205292455

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameTAYLOR BUCHANAN JACKSONCredential: FNP

Location Address4510 EXECUTIVE DR STE 215San Diego, CA 92121-3023

Mailing Address911 Saxon Hill DrCockeysville, MD 21030-2905 · (410) 419-1438

Phone(858) 657-6624

Sole ProprietorNo

Medical School CMSUniversity Of Maryland School Of MedicineGraduated 2015

Enumeration DateJanuary 4, 2016

Last NPPES UpdateJuly 24, 20244 updates tracked since enumeration

NPPES CertifiedJuly 24, 2024

✔ NPI 1205292455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NC · 5017962

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.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License R190900 (MD), 95003121 (CA)

4510 EXECUTIVE DR STE 215, San Diego, CA 92121

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Secondary Practice Location 1

Location 1510 Carolina Bay Dr Ste 100Wilmington, NC 28403-2046 · Phone (910) 763-9833 · Fax (910) 763-5166

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.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

Taylor Buchanan Jackson Fnp 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 ID4486958113

PECOS Enrollment IDI20230809000563

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.

Hospital Affiliations CMS Care Compare

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

Novant Health New Hanover Regional Medical Center

Acute Care Hospitals · Wilmington, NC

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number340141

Location2131 S 17th St Box 9000Wilmington, NC 28402 · New Hanover County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92121 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

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

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.

Other Providers at the Same Location NPPES 4

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

DR. ANNA KATHRYN VAN NIEKERK DO

Family Medicine

4510 EXECUTIVE DR STE 215
SAN DIEGO, CA 92121

San Diego County (800) 926-8273

DR. JANG HWAN BAE D.O.

Family Medicine

4510 EXECUTIVE DR STE 215
SAN DIEGO, CA 92121

San Diego County (800) 926-8273

DR. MARINA UDOWENKO D. O.

Family Medicine

4510 EXECUTIVE DR STE 215
SAN DIEGO, CA 92121

San Diego County (800) 926-8273

MORGAN SHANNON KEEFE DO, MPH

Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)

4510 EXECUTIVE DR STE 215
SAN DIEGO, CA 92121

San Diego County (800) 926-8273

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 Taylor Jackson's NPI number?

The NPI number for Taylor Jackson is 1205292455. It was assigned to this individual provider in the NPPES registry on January 4, 2016.

Where is Taylor Jackson located?

Taylor Jackson practices at 4510 Executive Dr Ste 215, San Diego, CA 92121. The listed phone number is (858) 657-6624.

What is Taylor Jackson's specialty?

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

Is Taylor Jackson enrolled in Medicare?

Yes. Taylor 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 Taylor Jackson accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Taylor 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.

Is Taylor Jackson affiliated with any hospitals?

According to CMS data, Taylor Jackson is affiliated with Novant Health New Hanover Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Taylor Jackson was last updated on July 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.