1. Home
  2. Directory
  3. Texas
  4. Tyler
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

DANIELLE NATIVIDAD JACKSON DO
NPI 1326736208
Student in an Organized Health Care Education/Training Program in Tyler, TX

Active since April 27, 2023PECOS Enrolled
11937 US HIGHWAY 271, TYLER, TX 75708(903) 877-7200 Get Directions Write a Review

NPPES record last updated: April 27, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Danielle Natividad Jackson Do NPPES

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

DANIELLE NATIVIDAD JACKSON DO (NPI 1326736208) is an individual student in an organized health care education/training program in Tyler, Texas, licensed in Texas (BP10085233) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326736208
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDANIELLE NATIVIDAD JACKSONCredential: DO
Location Address11937 US HIGHWAY 271Tyler, TX 75708-3154
Mailing Address11937 Us Highway 271Tyler, TX 75708-3154
Phone(903) 877-7200
Sole ProprietorNo
Enumeration DateApril 27, 2023
NPPES CertifiedApril 27, 2023
✔ NPI 1326736208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in TX · BP10085233
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
11937 US HIGHWAY 271, Tyler, TX 75708
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Danielle Natividad Jackson Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Danielle Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wilmington Health PLLC
1,006 mi
Multi-Specialty
1202 MEDICAL CENTER DR
Wilmington, NC 28401
  • Reassigned Medicare billing, North Carolina enrollment
  • 444 clinicians in this Medicare group
NPI 1881632339 (910) 341-3300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER
Psychiatric Unit
11937 US HIGHWAY 271
TYLER, TX 75708
Smith County (903) 877-7200
TYLER DAVIS DO
Surgery (Trauma Surgery)
11937 US HIGHWAY 271
TYLER, TX 75708
Smith County (903) 877-7777
PATRICIA DIANNE SHACKELFORD
Pharmacist
11937 US HIGHWAY 271
TYLER, TX 75708
Smith County (903) 877-7088
JENNIFER ANNISA MATHEW DO
Student in an Organized Health Care Education/Training Program
11937 US HIGHWAY 271
TYLER, TX 75708
Smith County (903) 877-7200
JASMINE MARIE GAMBOA MD
Student in an Organized Health Care Education/Training Program
11937 US HIGHWAY 271
TYLER, TX 75708
Smith County (903) 877-7200
DR. SADIE ROSE WALTER DO
Student in an Organized Health Care Education/Training Program
11937 US HIGHWAY 271
TYLER, TX 75708
Smith County (903) 877-7200
RENDALL NORTHCUTT FNP
Nurse Practitioner (Primary Care)
11937 US HIGHWAY 271
TYLER, TX 75708
Smith County (903) 877-7200
ES-HAQ SADDELDIN HASSANIN DO
Hospitalist
11937 US HIGHWAY 271
TYLER, TX 75708
Smith County (903) 877-7253

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 Danielle Jackson's NPI number?

The NPI number for Danielle Jackson is 1326736208. It was assigned to this individual provider in the NPPES registry on April 27, 2023.

Where is Danielle Jackson located?

Danielle Jackson practices at 11937 Us Highway 271, Tyler, TX 75708. The listed phone number is (903) 877-7200.

What is Danielle Jackson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Danielle Jackson enrolled in Medicare?

Yes. Danielle Jackson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Danielle Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Danielle Jackson reassigns Medicare benefits to Wilmington Health PLLC (Wilmington, NC). 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 Danielle Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Danielle Jackson accept?

Health plans from Cigna Healthcare list Danielle 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 Danielle Jackson was last updated on April 27, 2023. 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.