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TAMMY ELIZABETH JACKSON PMHNP
NPI 1669180717
Nurse Practitioner - Psychiatric/Mental Health in Frankfort, KY

Active since November 08, 2022PECOS EnrolledAccepts Medicare Assignment
409 HOLMES ST, FRANKFORT, KY 40601(502) 385-0806(502) 385-0656 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 21, 2025, Nov 8, 2022 (2 updates tracked since 2022).

About Tammy Elizabeth Jackson Pmhnp NPPES

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

TAMMY ELIZABETH JACKSON PMHNP (NPI 1669180717) is an individual psychiatric/mental health provider in Frankfort, Kentucky, licensed in Kentucky (3018653) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Frankfort, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1669180717
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameTAMMY ELIZABETH JACKSONCredential: PMHNP
Location Address409 HOLMES STFrankfort, KY 40601-2209
Mailing Address2955 Shadrick Ferry RdFrankfort, KY 40601-9476 · (502) 385-0806
Phone(502) 385-0806
Fax(502) 385-0656
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateNovember 8, 2022
Last NPPES UpdateMay 21, 20252 updates tracked since enumeration
NPPES CertifiedMay 21, 2025
✔ NPI 1669180717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in KY · 3018653
409 HOLMES ST, Frankfort, KY 40601
Open in Google Maps ↗

Secondary Practice Location 1

Location 12955 Shadrick Ferry RdFrankfort, KY 40601-9476 · Phone (502) 330-8522

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

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

Tammy Elizabeth Jackson Pmhnp 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 ID7719358332
PECOS Enrollment IDI20230118002577
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40601 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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

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

CAPITAL CITY PSYCH & MENTAL HEALTH
Nurse Practitioner (Psychiatric/Mental Health)
409 HOLMES ST
FRANKFORT, KY 40601
Franklin County (502) 385-0806

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 1669180717. It was assigned to this individual provider in the NPPES registry on November 8, 2022.

Where is Tammy Jackson located?

Tammy Jackson practices at 409 Holmes St, Frankfort, KY 40601. The listed phone number is (502) 385-0806.

What is Tammy Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Tammy Jackson enrolled in Medicare?

Yes. Tammy 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.

What insurance does Tammy Jackson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource and 1 other insurer list Tammy 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 Tammy Jackson was last updated on May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.