MS. DIANE REGINA JACKSON ARNP
NPI 1467796128
Nurse Practitioner - Primary Care in Tampa, FL
About Ms. Diane Regina Jackson Arnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. DIANE REGINA JACKSON ARNP (NPI 1467796128) is an individual primary care provider in Tampa, Florida, licensed in Florida (ARNP2121402) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Diane Regina Jackson Arnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33604 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 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Diane Jackson's NPI number?
The NPI number for Diane Jackson is 1467796128. It was assigned to this individual provider in the NPPES registry on November 19, 2012.
Where is Diane Jackson located?
Diane Jackson practices at 1248 E Hillsborough Ave 221, Tampa, FL 33604. The listed phone number is (813) 516-0679.
What is Diane Jackson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Diane Jackson enrolled in Medicare?
Yes. Diane Jackson is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Diane Jackson was last updated on November 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Ms. Diane Regina Jackson, ARNP · NPI 1467796128
Primary Care physician in Tampa, Florida. Individual provider, active in the CMS NPPES registry since November 19, 2012.
## Identity
- **NPI:** 1467796128 (Entity type: Individual)
- **Enumerated:** November 19, 2012
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** ARNP2121402 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1248 E HILLSBOROUGH AVE, 221, Tampa, FL 33604-7201
- **Phone:** (813) 516-0679
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** November 20, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1467796128) · Data from the CMS NPPES public registry.