TENIOLA YETUNDE JACKSON
NPI 1295536159
Nurse Practitioner - Primary Care in Houston, TX
About Teniola Yetunde Jackson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TENIOLA YETUNDE JACKSON (NPI 1295536159) is an individual primary care provider in Houston, Texas, licensed in Texas (1193049) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Katy, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Teniola Yetunde 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 77070 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HOUSTON, TX 77070
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 Teniola Jackson's NPI number?
The NPI number for Teniola Jackson is 1295536159. It was assigned to this individual provider in the NPPES registry on March 24, 2025.
Where is Teniola Jackson located?
Teniola Jackson practices at 13523 Hargrave Rd Ste 100, Houston, TX 77070. The listed phone number is (346) 654-3463.
What is Teniola Jackson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Teniola Jackson enrolled in Medicare?
Yes. Teniola 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 Teniola Jackson was last updated on June 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Teniola Yetunde Jackson · NPI 1295536159
Primary Care physician in Houston, Texas. Individual provider, active in the CMS NPPES registry since March 24, 2025.
## Identity
- **NPI:** 1295536159 (Entity type: Individual)
- **Enumerated:** March 24, 2025
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 1193049 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 13523 HARGRAVE RD STE 100, Houston, TX 77070-3829
- **Phone:** (346) 654-3463
## 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 2024
## Record status
- **NPPES last updated:** June 18, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1295536159) · Data from the CMS NPPES public registry.