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TINA MARIE JACKSON ANP
NPI 1639202336
Nurse Practitioner - Adult Health in Cary, NC

Active since March 13, 2007PECOS EnrolledAccepts Medicare Assignment
300 KEISLER DRIVE, SUITE 204, CARY, NC 27518(919) 233-0059(919) 233-0343 Get Directions Write a Review

NPPES record last updated: August 8, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 8, 2024, Apr 8, 2021 (2 updates tracked since 2021).

About Tina Marie Jackson Anp NPPES

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

TINA MARIE JACKSON ANP (NPI 1639202336) is an individual adult health provider in Cary, North Carolina, licensed in North Carolina (900192) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, is affiliated with Wakemed, Raleigh Campus, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1639202336
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameTINA MARIE JACKSONCredential: ANP
Location Address300 KEISLER DRIVE, SUITE 204Cary, NC 27518
Mailing Address1525 Crickett RdRaleigh, NC 27610-9327 · (919) 266-6565 · Fax (919) 233-0343
Phone(919) 233-0059
Fax(919) 233-0343
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateMarch 13, 2007
Last NPPES UpdateAugust 8, 20242 updates tracked since enumeration
NPPES CertifiedAugust 8, 2024
✔ NPI 1639202336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NC · 900192
300 KEISLER DRIVE, Cary, NC 27518
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.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

Tina Marie Jackson Anp 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 ID8325202054
PECOS Enrollment IDI20120611000009
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 Tina Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wakemed Specialists Group LLC
Same address
Cardiovascular Disease
300 KEISLER DR
Cary, NC 27518
  • Reassigned Medicare billing, North Carolina enrollment
  • 997 clinicians in this Medicare group
NPI 1447852579 (919) 230-4434

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

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
24 services21 patients

Hospital Affiliations CMS Care Compare 2

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

Wakemed, Raleigh Campus

Acute Care Hospitals · Raleigh, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340069
Location3000 New Bern AveRaleigh, NC 27610 · Wake County
Emergency services Birthing friendly

Wakemed, Cary Hospital

Acute Care Hospitals · Cary, NC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340173
Location1900 Kildare Farm RoadCary, NC 27518 · Wake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27518 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

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 Tina Jackson's NPI number?

The NPI number for Tina Jackson is 1639202336. It was assigned to this individual provider in the NPPES registry on March 13, 2007.

Where is Tina Jackson located?

Tina Jackson practices at 300 Keisler Drive Suite 204, Cary, NC 27518. The listed phone number is (919) 233-0059.

What is Tina Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Tina Jackson enrolled in Medicare?

Yes. Tina 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 organization bills Medicare for Tina Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tina Jackson reassigns Medicare benefits to Wakemed Specialists Group LLC (Cary, NC). The 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 Tina Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tina Jackson accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Cigna Healthcare list Tina 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.

Is Tina Jackson affiliated with any hospitals?

According to CMS data, Tina Jackson is affiliated with Wakemed, Raleigh Campus and Wakemed, Cary Hospital.

When was this NPI record last updated?

The NPPES record for Tina Jackson was last updated on August 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.