MRS. ELIZABETH MARIE JACKSON NP
NPI 1619413861
Nurse Practitioner - Family in Apopka, FL

Q: What is Elizabeth Jackson's NPI number?

The NPI number for Elizabeth Jackson is 1619413861. It was assigned to this individual provider in the NPPES registry on January 12, 2017.

Q: What is Elizabeth 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 Elizabeth Jackson was last updated on May 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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 January 12, 2017PECOS EnrolledAccepts Medicare Assignment

2100 OCOEE APOPKA RD, APOPKA, FL 32703(407) 889-1000 Get Directions Write a Review

NPPES record last updated: May 12, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 12, 2025, Mar 29, 2023, Jan 7, 2022 and 2 more (5 updates tracked since 2017).

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About Mrs. Elizabeth Marie Jackson Np NPPES

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

MRS. ELIZABETH MARIE JACKSON NP (NPI 1619413861) is an individual family provider in Apopka, Florida, licensed in Louisiana (230181) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS, is affiliated with Tampa General Hospital, and maintains a secondary practice location in Cleveland.

NPPES Registry Identity

NPI1619413861

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. ELIZABETH MARIE JACKSONCredential: NP

Location Address2100 OCOEE APOPKA RDApopka, FL 32703-9210

Mailing Address1735 Overdale Dr NwCleveland, TN 37312-2586 · (423) 715-9858

Phone(407) 889-1000

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJanuary 12, 2017

Last NPPES UpdateMay 12, 20255 updates tracked since enumeration

NPPES CertifiedMay 12, 2025

✔ NPI 1619413861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in LA · 230181✔ Licensed in TN · 22453✔ Licensed in FL · APRN11024679

Also ListedNurse PractitionerTaxonomy 363L00000X · License 22453 (TN)

2100 OCOEE APOPKA RD, Apopka, FL 32703

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Secondary Practice Location 1

Location 12305 Chambliss Ave NWCleveland, TN 37311-3847 · Phone (423) 715-9858

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Elizabeth Marie Jackson Np 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 ID7012285844

PECOS Enrollment IDI20170619002626, I20230606001473, I20230614000774, I20230706002663, I20241007002355

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.

Areas of Expertise CMS Part B claims

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

120 services120 patients

Hospital Affiliations CMS Care Compare 5

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

Tampa General Hospital

Acute Care Hospitals · Tampa, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100128

Location1 Tampa General CirTampa, FL 33606 · Hillsborough County

Emergency services Birthing friendly

Memorial Mission Hospital And Asheville Surgery Ce

Acute Care Hospitals · Asheville, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340002

Location509 Biltmore AveAsheville, NC 28801 · Buncombe County

Emergency services Birthing friendly

Lincoln Medical Center

Acute Care Hospitals · Fayetteville, TN

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number440102

Location106 Medical Center BlvdFayetteville, TN 37334 · Lincoln County

Emergency services Birthing friendly

St Francis Hospital

Acute Care Hospitals · Memphis, TN

2/5 CMS rating

OwnershipProprietary

CMS Certification Number440183

Location5959 Park AveMemphis, TN 38119 · Shelby County

Emergency services Birthing friendly

Tennova Health Care-Cleveland

Acute Care Hospitals · Cleveland, TN

2/5 CMS rating

OwnershipProprietary

CMS Certification Number440185

Location2305 Chambliss Ave NWCleveland, TN 37311 · Bradley County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32703 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

100%73 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

MR. TIMOTHY JOSEPH HIRSCH PA-C

Physician Assistant