BRENT JACKSON
NPI 1245967405
Nurse Practitioner - Acute Care in Tuttle, OK
About Brent Jackson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRENT JACKSON (NPI 1245967405) is an individual acute care provider in Tuttle, Oklahoma, licensed in Oklahoma (210172) and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
Accepted 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
Brent Jackson 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 73089 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Brent Jackson's NPI number?
The NPI number for Brent Jackson is 1245967405. It was assigned to this individual provider in the NPPES registry on August 6, 2022.
Where is Brent Jackson located?
Brent Jackson practices at 2377 County Road 1201, Tuttle, OK 73089. The listed phone number is (405) 412-3213.
What is Brent Jackson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Brent Jackson enrolled in Medicare?
Yes. Brent 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 Brent Jackson accept?
Health plans from Medica and Oscar Insurance Company list Brent 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 Brent Jackson was last updated on September 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Brent Jackson · NPI 1245967405
Acute Care physician in Tuttle, Oklahoma. Individual provider, active in the CMS NPPES registry since August 6, 2022.
## Identity
- **NPI:** 1245967405 (Entity type: Individual)
- **Enumerated:** August 6, 2022
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 210172 (Oklahoma)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2377 COUNTY ROAD 1201, Tuttle, OK 73089-1067
- **Phone:** (405) 412-3213
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** September 4, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1245967405) · Data from the CMS NPPES public registry.