VICKI ELIZABETH JACKSON FNP-C
NPI 1457780801
Nurse Practitioner in Wichita Falls, TX

Q: What is Vicki Jackson's NPI number?

The NPI number for Vicki Jackson is 1457780801. It was assigned to this individual provider in the NPPES registry on November 6, 2013.

Q: What is Vicki Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Vicki Jackson was last updated on June 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 November 06, 2013PECOS EnrolledAccepts Medicare Assignment

91.59/100

CMS Quality Rating

4327 BARNETT RD, WICHITA FALLS, TX 76310(940) 687-3376(940) 687-3377 Get Directions Write a Review

NPPES record last updated: June 29, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Vicki Elizabeth Jackson Fnp-c NPPES

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

VICKI ELIZABETH JACKSON FNP-C (NPI 1457780801) is an individual nurse practitioner in Wichita Falls, Texas, licensed in Texas (AP 124564) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS, is affiliated with Renown Regional Medical Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1457780801

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameVICKI ELIZABETH JACKSONCredential: FNP-C

Location Address4327 BARNETT RDWichita Falls, TX 76310-2303

Mailing Address4327 Barnett RdWichita Falls, TX 76310-2303 · (940) 687-3376 · Fax (940) 687-3377

Phone(940) 687-3376

Fax(940) 687-3377

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateNovember 6, 2013

Last NPPES UpdateJune 29, 2014

✔ NPI 1457780801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in TX · AP 124564

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 744688 (TX)

4327 BARNETT RD, Wichita Falls, TX 76310

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Vicki Elizabeth Jackson Fnp-c 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 ID8729200464

PECOS Enrollment IDI20210505002091

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

Gastroenterology Consultants, Ltd

1,238 mi

Specialist

880 RYLAND ST
Reno, NV 89502

Reassigned Medicare billing, Nevada enrollment
59 clinicians in this Medicare group

NPI 1144218512 (775) 329-4600

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

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

355 services295 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

132 services132 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

87 services87 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

21 services21 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

15 services15 patients

Hospital Affiliations CMS Care Compare 5

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

Renown Regional Medical Center

Acute Care Hospitals · Reno, NV

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number290001

Location1155 Mill StreetReno, NV 89502 · Washoe County

Emergency services Birthing friendly

Saint Mary's Regional Medical Center

Acute Care Hospitals · Reno, NV

3/5 CMS rating

OwnershipProprietary

CMS Certification Number290009

Location235 W 6th StReno, NV 89503 · Washoe County

Emergency services

Northern Nevada Medical Center

Acute Care Hospitals · Sparks, NV

3/5 CMS rating

OwnershipProprietary

CMS Certification Number290032

Location2375 E Prater WaySparks, NV 89434 · Washoe County

Emergency services

Renown South Meadows Medical Center

Acute Care Hospitals · Reno, NV

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number290049

Location10101 Double R BlvdReno, NV 89521 · Washoe County

Emergency services

Carson Valley Health

Critical Access Hospitals · Gardnerville, NV

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number291306

Location1107 Highway 395Gardnerville, NV 89410 · Douglas County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76310 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.59/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

85.05

Promoting Interoperability

96.88

Improvement Activities

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.

DR. TED ALEXANDER D.O.

Family Medicine