TRICIA HARVEY JACKSON APRN
NPI 1366932766
Nurse Practitioner - Family in Lexington, KY

Q: What is Tricia Jackson's NPI number?

The NPI number for Tricia Jackson is 1366932766. It was assigned to this individual provider in the NPPES registry on May 11, 2018.

Q: What is Tricia Jackson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tricia Jackson was last updated on July 20, 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.

Active since May 11, 2018PECOS EnrolledAccepts Medicare Assignment

1401 HARRODSBURG RD STE B165, LEXINGTON, KY 40504(859) 288-2425(859) 288-7510 Get Directions Write a Review

NPPES record last updated: July 20, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jul 20, 2023, Mar 12, 2021, May 11, 2018 (3 updates tracked since 2018).

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About Tricia Harvey Jackson Aprn NPPES

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

TRICIA HARVEY JACKSON APRN (NPI 1366932766) is an individual family provider in Lexington, Kentucky, licensed in Kentucky (3012098) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, is affiliated with Ephraim Mcdowell Regional Medical Center, and maintains a secondary practice location in Manchester.

NPPES Registry Identity

NPI1366932766

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTRICIA HARVEY JACKSONCredential: APRN

Location Address1401 HARRODSBURG RD STE B165Lexington, KY 40504-1726

Mailing Address496 Southland DrLexington, KY 40503-1827 · (859) 288-2392 · Fax (859) 288-7510

Phone(859) 288-2425

Fax(859) 288-7510

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateMay 11, 2018

Last NPPES UpdateJuly 20, 20233 updates tracked since enumeration

NPPES CertifiedJuly 20, 2023

✔ NPI 1366932766 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 KY · 3012098

1401 HARRODSBURG RD STE B165, Lexington, KY 40504

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Secondary Practice Location 1

Location 1249 Old US Highway 421Manchester, KY 40962-7506 · Phone (065) 990-0776

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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

Tricia Harvey Jackson Aprn 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 ID3577818707

PECOS Enrollment IDI20180612001611

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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ephraim Mcdowell Regional Medical Center

Acute Care Hospitals · Danville, KY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180048

Location217 South Third StreetDanville, KY 40422 · Boyle County

Emergency services Birthing friendly

Ephraim Mcdowell Fort Logan Hospital

Critical Access Hospitals · Stanford, KY

OwnershipVoluntary non-profit - Private

CMS Certification Number181315

Location110 Metker TrailStanford, KY 40484 · Lincoln County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40504 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$19.50 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$109.33 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASHLEY LAURYN MCKNIGHT PHARMD

Pharmacist