RUTH JACKSON APN
NPI 1285092593
Nurse Practitioner - Family in Memphis, TN

Active since February 01, 2016PECOS EnrolledAccepts Medicare Assignment
5200 PARK AVE, MEMPHIS, TN 38119(901) 383-7078 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ruth Jackson Apn NPPES

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

RUTH JACKSON APN (NPI 1285092593) is an individual family provider in Memphis, Tennessee, licensed in Tennessee (20545) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1285092593
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameRUTH JACKSONCredential: APN
Location Address5200 PARK AVEMemphis, TN 38119-3505
Mailing Address10135 Bloomsbury AveCordova, TN 38016-0198 · (901) 246-5120
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateFebruary 1, 2016
Last NPPES UpdateJune 15, 2026
NPPES CertifiedJune 15, 2026
NPI 1285092593 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 · 20545
5200 PARK AVE, Memphis, TN 38119

Secondary Practice Locations 2

Location 11720 Gunbarrel Rd Ste 108Chattanooga, TN 37421-3192 · Phone (800) 775-5484
Location 25555 Clinton HwyKnoxville, TN 37912-3475 · Phone (888) 211-0637

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

Ruth Jackson Apn 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 ID9234434416
PECOS Enrollment IDI20251013002519
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38119 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.

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.

Clinic/Center (Infusion Therapy)
5200 PARK AVE, SUITE 203
MEMPHIS, TN 38119
Physical Therapist
5200 PARK AVE, SUITE 201
MEMPHIS, TN 38119
Specialist
5200 PARK AVE, SUITE 102
MEMPHIS, TN 38119
Clinic/Center
5200 PARK AVE, SUITE 203
MEMPHIS, TN 38119

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 Ruth Jackson's NPI number?

The NPI number for Ruth Jackson is 1285092593. It was assigned to this individual provider in the NPPES registry on February 1, 2016.

Where is Ruth Jackson located?

Ruth Jackson practices at 5200 Park Ave, Memphis, TN 38119. The listed phone number is (901) 383-7078.

What is Ruth Jackson's specialty?

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

Is Ruth Jackson enrolled in Medicare?

Yes. Ruth 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.

When was this NPI record last updated?

The NPPES record for Ruth Jackson was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 51 days 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.