TOMMORA DENICE JACKSON NP-C
NPI 1497075097
Nurse Practitioner - Primary Care in Fort Worth, TX
About Tommora Denice Jackson Np-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TOMMORA DENICE JACKSON NP-C (NPI 1497075097) is an individual primary care provider in Fort Worth, Texas, licensed in Texas (AP119152) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Accepted 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
Tommora Denice Jackson Np-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.
Medicare Billing Reassignments
3Medicare enrollment records show Tommora Jackson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fort Worth, TX 76177
- Reassigned Medicare billing, Texas enrollment
- 2 clinicians in this Medicare group
Fort Worth, TX 76104
- Reassigned Medicare billing, Texas enrollment
- 328 clinicians in this Medicare group
Casper, WY 82609
- Reassigned Medicare billing, Texas enrollment
- 6 clinicians in this Medicare group
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 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 76137 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 4
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 4
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 Tommora Jackson's NPI number?
The NPI number for Tommora Jackson is 1497075097. It was assigned to this individual provider in the NPPES registry on June 4, 2010. The provider is also known as Tommora Denice Tollerson Rn.
Where is Tommora Jackson located?
Tommora Jackson practices at 7232 North Fwy, Fort Worth, TX 76137. The listed phone number is (817) 232-2100.
What is Tommora Jackson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Tommora Jackson enrolled in Medicare?
Yes. Tommora Jackson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Tommora Jackson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tommora Jackson reassigns Medicare benefits to 3 organizations: Neighborhood House Calls PLLC (Fort Worth, TX), Integrative Emergency Services Physician Group PA (Fort Worth, TX) and Complex Wound Solutions, LLC (Casper, WY). Each 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 Tommora Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tommora Jackson accept?
Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Tommora 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 Tommora Jackson was last updated on May 14, 2015. 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.
# Tommora Denice Jackson, NP-C · NPI 1497075097
Primary Care physician in Fort Worth, Texas. Individual provider, active in the CMS NPPES registry since June 4, 2010.
## Identity
- **NPI:** 1497075097 (Entity type: Individual)
- **Enumerated:** June 4, 2010
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** AP119152 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 7232 NORTH FWY, Fort Worth, TX 76137-2481
- **Phone:** (817) 232-2100
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Neighborhood House Calls PLLC (NPI 1083388243, Fort Worth, TX); Integrative Emergency Services Physician Group PA (NPI 1285922542, Fort Worth, TX); Complex Wound Solutions, LLC (NPI 1104644228, Casper, WY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** May 14, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1497075097) · Data from the CMS NPPES public registry.