LATRICIA DENISE JACKSON APRN, FNP-BC
NPI 1316809668
Nurse Practitioner - Family in Desoto, TX
About Latricia Denise Jackson Aprn, Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LATRICIA DENISE JACKSON APRN, FNP-BC (NPI 1316809668) is an individual family provider in Desoto, Texas, licensed in Texas (1218016) and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Group Practice 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
Latricia Denise Jackson Aprn, Fnp-bc 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 75115 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 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DESOTO, TX 75115
DESOTO, TX 75115
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 Latricia Jackson's NPI number?
The NPI number for Latricia Jackson is 1316809668. It was assigned to this individual provider in the NPPES registry on November 25, 2025.
Where is Latricia Jackson located?
Latricia Jackson practices at 1534 N Hampton Rd Ste 100, Desoto, TX 75115. The listed phone number is (469) 941-4029.
What is Latricia Jackson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Latricia Jackson enrolled in Medicare?
Yes. Latricia 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 Latricia Jackson was last updated on April 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Latricia Denise Jackson, APRN, FNP-BC · NPI 1316809668
Family physician in Desoto, Texas. Individual provider, active in the CMS NPPES registry since November 25, 2025.
## Identity
- **NPI:** 1316809668 (Entity type: Individual)
- **Enumerated:** November 25, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 1218016 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1534 N HAMPTON RD STE 100, Desoto, TX 75115-2493
- **Phone:** (469) 941-4029
## 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:** April 2, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1316809668) · Data from the CMS NPPES public registry.