STACEY RENEE JACKSON NP
NPI 1669828224
Nurse Practitioner - Acute Care in Arlington, TX

Q: What is Stacey Jackson's NPI number?

The NPI number for Stacey Jackson is 1669828224. It was assigned to this individual provider in the NPPES registry on May 12, 2016.

Q: What is Stacey Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Stacey Jackson was last updated on July 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since May 12, 2016PECOS Enrolled

906 W RANDOL MILL RD, ARLINGTON, TX 76012(817) 261-4906(817) 261-5837 Get Directions Write a Review

NPPES record last updated: July 22, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Stacey Renee Jackson Np NPPES

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

STACEY RENEE JACKSON NP (NPI 1669828224) is an individual acute care provider in Arlington, Texas, licensed in Texas (AP130643) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669828224

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameSTACEY RENEE JACKSONCredential: NP

Location Address906 W RANDOL MILL RDArlington, TX 76012-2510

Mailing Address906 W Randol Mill RdArlington, TX 76012-2510 · (817) 261-4906 · Fax (817) 261-5837

Phone(817) 261-4906

Fax(817) 261-5837

Sole ProprietorNo

Enumeration DateMay 12, 2016

Last NPPES UpdateJuly 22, 2016

✔ NPI 1669828224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in TX · AP130643

906 W RANDOL MILL RD, Arlington, TX 76012

Open in Google Maps ↗

Other Identifiers 2

Medicare PIN509731YKQLTX

Medicare PIN509731YKPWTX

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacey Renee Jackson Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 76012 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

$87.20 typical visit price

range $56.47 – $171.07

Typical copayment $21.80 (range $14.11 – $42.76)

Most-billed visit code 99203

Established Patient

$99.68 typical visit price

range $18.18 – $139.68

Typical copayment $24.92 (range $4.54 – $34.92)

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 13

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

NEELU GANDHI MD

Radiology (Diagnostic Radiology)

906 W RANDOL MILL RD
ARLINGTON, TX 76012

Tarrant County (817) 261-4906

ALFRED DI STEFANO MD

Internal Medicine (Hematology & Oncology)

906 W RANDOL MILL RD
ARLINGTON, TX 76012

Tarrant County (817) 261-0929

MANDAR V JOSHI MD

Radiology (Diagnostic Radiology)

906 W RANDOL MILL RD, ARLINGTON CANCER CENTER
ARLINGTON, TX 76012

Tarrant County (817) 261-4906

METROPLEX HEMATOLOGY ONCOLOGY ASSOCIATES

Pharmacy

906 W RANDOL MILL RD
ARLINGTON, TX 76012

Tarrant County (817) 261-4906

MEDICAL EDGE HEALTHCARE GROUP PA

Durable Medical Equipment & Medical Supplies

906 W RANDOL MILL RD
ARLINGTON, TX 76012

Tarrant County (817) 261-4906

METROPLEX HEMATOLOGY ONCOLOGY ASSOCIATES

Clinic/Center (Oncology, Radiation)

906 W RANDOL MILL RD, ARLINGTON CANCER CENTER
ARLINGTON, TX 76012

Tarrant County (817) 261-4906

KAREL ADRIAAN DICKE MD PHD

Internal Medicine (Hematology & Oncology)

906 W RANDOL MILL RD
ARLINGTON, TX 76012

Tarrant County (817) 261-4906

JOHN WILLIAM ADAMS DO

Internal Medicine (Medical Oncology)

906 W RANDOL MILL RD, ARLINGTON CANCER CENTER
ARLINGTON, TX 76012

Tarrant County (817) 261-0929

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 Stacey Jackson's NPI number?

The NPI number for Stacey Jackson is 1669828224. It was assigned to this individual provider in the NPPES registry on May 12, 2016.

Where is Stacey Jackson located?

Stacey Jackson practices at 906 W Randol Mill Rd, Arlington, TX 76012. The listed phone number is (817) 261-4906.

What is Stacey Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Stacey Jackson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Stacey Jackson was last updated on July 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.