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MRS. TYLER JACKSON LCSW
NPI 1225469364
Social Worker - Clinical in Travis Afb, CA

Active since November 27, 2013PECOS EnrolledAccepts Medicare Assignment
101 BODIN CIR, TRAVIS AFB, CA 94535(707) 423-5174 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 13, 2026, Mar 29, 2021 (2 updates tracked since 2021).

About Mrs. Tyler Jackson Lcsw NPPES

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

MRS. TYLER JACKSON LCSW (NPI 1225469364) is an individual clinical provider in Travis Afb, California, licensed in Arkansas (8001C) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1225469364
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. TYLER JACKSONCredential: LCSW
Location Address101 BODIN CIRTravis Afb, CA 94535-1809
Mailing Address101 Bodin CirTravis Afb, CA 94535-1809 · (707) 423-5174
Phone(707) 423-5174
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateNovember 27, 2013
Last NPPES UpdateMay 13, 20262 updates tracked since enumeration
NPPES CertifiedMay 13, 2026
✔ NPI 1225469364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in AR · 8001C
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
101 BODIN CIR, Travis Afb, CA 94535
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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 Superior HealthPlan 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 and accepts Medicare assignment

Mrs. Tyler Jackson Lcsw 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 ID1850790163
PECOS Enrollment IDI20210518002653
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 Tyler Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St Bernards Hospital Inc
1,729 mi
General Acute Care Hospital
2712 E JOHNSON AVE
Jonesboro, AR 72401
  • Reassigned Medicare billing, Arkansas enrollment
  • 79 clinicians in this Medicare group
NPI 1346301306 (870) 932-2800

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 94535 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
$0.00 typical visit price
range $65.02 – $191.95
Typical copayment $0.00 (range $16.25 – $47.98)
Most-billed visit code NA
Established Patient
$80.24 typical visit price
range $21.86 – $157.69
Typical copayment $20.06 (range $5.46 – $39.42)
Most-billed visit code 99213
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 20

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

EDWARD SEAN RODRIGUEZ I.D.M.T
Military Health Care Provider (Independent Duty Medical Technicians)
101 BODIN CIR
TRAVIS AFB, CA 94535
Solano County (707) 423-5478
KENDRA MONICA HILL PT
Physical Therapist
101 BODIN CIR
TRAVIS AFB, CA 94535
Solano County (707) 423-3000
TIMOTHY GUENTHER MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
101 BODIN CIR
TRAVIS AFB, CA 94535
Solano County (707) 423-3000
ANGELA SABRINA GIESE MD
Surgery (Vascular Surgery)
101 BODIN CIR
FAIRFIELD, CA 94535
Solano County (707) 423-3000
DR. JOSCELYN D. A. C. AQUININGOC PHARMD
Pharmacist
101 BODIN CIR
TRAVIS AFB, CA 94535
Solano County (626) 297-8649
MATTHEW NICHOLAS RIBEIRO MD
Anesthesiology
101 BODIN CIR
FAIRFIELD, CA 94535
Solano County (707) 423-3000
DR. ARTHUR JOSEPH MESTAS MD
Family Medicine
101 BODIN CIR
TRAVIS AFB, CA 94535
Solano County (707) 423-7295
CATHERINE CELINE BRANSTETTER
Dentist (General Practice)
101 BODIN CIR
TRAVIS AFB, CA 94535
Solano County (707) 423-7085

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 Tyler Jackson's NPI number?

The NPI number for Tyler Jackson is 1225469364. It was assigned to this individual provider in the NPPES registry on November 27, 2013.

Where is Tyler Jackson located?

Tyler Jackson practices at 101 Bodin Cir, Travis Afb, CA 94535. The listed phone number is (707) 423-5174.

What is Tyler Jackson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Tyler Jackson enrolled in Medicare?

Yes. Tyler 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.

Which organization bills Medicare for Tyler Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Jackson reassigns Medicare benefits to St Bernards Hospital Inc (Jonesboro, AR). 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 Tyler Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tyler Jackson accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Tyler 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 Tyler Jackson was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.