Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

JESSICA JACKSON FNP
NPI 1437004819
Nurse Practitioner - Family in Tyler, TX

Q: What is Jessica Jackson's NPI number?

The NPI number for Jessica Jackson is 1437004819. It was assigned to this individual provider in the NPPES registry on March 2, 2026.

Q: What is Jessica 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 Jessica Jackson was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since March 02, 2026PECOS Enrolled

1910 ROSELAND BLVD, TYLER, TX 75701(903) 533-0644(903) 533-0441 Get Directions Write a Review

NPPES record last updated: July 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jessica Jackson Fnp NPPES

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

JESSICA JACKSON FNP (NPI 1437004819) is an individual family provider in Tyler, Texas, licensed in Texas (1228436) and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437004819

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJESSICA JACKSONCredential: FNP

Location Address1910 ROSELAND BLVDTyler, TX 75701-4246

Mailing Address1910 Roseland BlvdTyler, TX 75701-4246 · (903) 533-0644 · Fax (903) 533-0441

Phone(903) 533-0644

Fax(903) 533-0441

Sole ProprietorYes

Enumeration DateMarch 2, 2026

Last NPPES UpdateJuly 28, 2026

NPPES CertifiedJuly 28, 2026

✔ NPI 1437004819 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 TX · 1228436

1910 ROSELAND BLVD, Tyler, TX 75701

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Jackson Fnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75701 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

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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.

JEFFREY S PILETTE FNP

Nurse Practitioner (Family)