MRS. TAMMY Z JACKSON CFNP
NPI 1558345371
Nurse Practitioner - Family in Ripley, MS

Active since December 05, 2005PECOS Enrolled
716 S MAIN ST, RIPLEY, MS 38663(662) 837-1534(662) 837-3274 Get Directions Write a Review

NPPES record last updated: March 17, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mrs. Tammy Z Jackson Cfnp NPPES

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

MRS. TAMMY Z JACKSON CFNP (NPI 1558345371) is an individual family provider in Ripley, Mississippi, licensed in Mississippi (R613401) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, is affiliated with Baptist Memorial Hospital Booneville, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1558345371
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. TAMMY Z JACKSONCredential: CFNP
Location Address716 S MAIN STRipley, MS 38663-2909
Mailing Address716 S Main StRipley, MS 38663-2909 · (662) 837-1534 · Fax (662) 837-3274
Fax(662) 837-3274
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateDecember 5, 2005
Last NPPES UpdateMarch 17, 2014
✔ NPI 1558345371 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 MS · R613401
716 S MAIN ST, Ripley, MS 38663

Other Identifiers 3

Medicaid00112669MS
Medicare OSCAR/certification331328YVAR
Medicare UPINP25298

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Tammy Z Jackson Cfnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1153550074
PECOS Enrollment IDI20140218001218
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 Reassignments

2

Medicare enrollment records show Tammy Jackson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Rural Health
716 S MAIN ST
Ripley, MS 38663
  • Reassigned Medicare billing, Mississippi enrollment
  • 7 clinicians in this Medicare group
Family
109 NORTH RD
Booneville, MS 38829
  • Reassigned Medicare billing, Mississippi enrollment
  • 4 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.

Hospital Affiliations CMS Care Compare 2

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

Baptist Memorial Hospital Booneville

Acute Care Hospitals · Booneville, MS
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number250044
Location100 Hospital StreetBooneville, MS 38829 · Prentiss County
Emergency services

Tippah County Hospital

Critical Access Hospitals · Ripley, MS
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number251337
Location1005 City Ave NorthRipley, MS 38663 · Tippah County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38663 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

Other Providers at the Same Location NPPES 6

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

Nurse Practitioner (Family)
716 S MAIN ST
RIPLEY, MS 38663
Nurse Practitioner
716 S MAIN ST
RIPLEY, MS 38663
Clinic/Center (Rural Health)
716 S MAIN ST
RIPLEY, MS 38663
Clinic/Center (Primary Care)
716 S MAIN ST
RIPLEY, MS 38663
Nurse Practitioner (Family)
716 S MAIN ST
RIPLEY, MS 38663
Clinic/Center (Primary Care)
716 S MAIN ST
RIPLEY, MS 38663

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 Tammy Jackson's NPI number?

The NPI number for Tammy Jackson is 1558345371. It was assigned to this individual provider in the NPPES registry on December 5, 2005.

Where is Tammy Jackson located?

Tammy Jackson practices at 716 S Main St, Ripley, MS 38663. The listed phone number is (662) 837-1534.

What is Tammy Jackson's specialty?

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

Is Tammy Jackson enrolled in Medicare?

Yes. Tammy Jackson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Tammy Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tammy Jackson reassigns Medicare benefits to 2 organizations: Nursemed LLC (Ripley, MS) and Family First Medical Clinic, LLC (Booneville, MS). 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 Tammy Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Tammy Jackson affiliated with any hospitals?

According to CMS data, Tammy Jackson is affiliated with Baptist Memorial Hospital Booneville and Tippah County Hospital.

When was this NPI record last updated?

The NPPES record for Tammy Jackson was last updated on March 17, 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.