ROBIN JACKSON
NPI 1669922670
Nurse Practitioner - Acute Care in Tupelo, MS
About Robin Jackson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROBIN JACKSON (NPI 1669922670) is an individual acute care provider in Tupelo, Mississippi, licensed in Mississippi (901796) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS, is affiliated with North Mississippi Medical Center, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Robin Jackson 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.
Medicare Billing Reassignment
Medicare enrollment records show Robin Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tupelo, MS 38801
- Reassigned Medicare billing, Mississippi enrollment
- 581 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.
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
North Mississippi Medical Center
Acute Care Hospitals · Tupelo, MSPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 38801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
TUPELO, MS 38801
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 Robin Jackson's NPI number?
The NPI number for Robin Jackson is 1669922670. It was assigned to this individual provider in the NPPES registry on October 13, 2016.
Where is Robin Jackson located?
Robin Jackson practices at 830 S Gloster St 4th Floor East Tower, Tupelo, MS 38801. The listed phone number is (662) 377-7170.
What is Robin Jackson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Robin Jackson enrolled in Medicare?
Yes. Robin 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 Robin Jackson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Robin Jackson reassigns Medicare benefits to North Mississippi Medical Center, Inc. (Tupelo, MS). 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 Robin Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Robin Jackson accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Robin 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 Robin Jackson affiliated with any hospitals?
According to CMS data, Robin Jackson is affiliated with North Mississippi Medical Center.
When was this NPI record last updated?
The NPPES record for Robin Jackson was last updated on October 13, 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.
# Robin Jackson · NPI 1669922670
Acute Care physician in Tupelo, Mississippi. Individual provider, active in the CMS NPPES registry since October 13, 2016.
## Identity
- **NPI:** 1669922670 (Entity type: Individual)
- **Enumerated:** October 13, 2016
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 901796 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 830 S GLOSTER ST, 4TH FLOOR EAST TOWER, Tupelo, MS 38801-4934
- **Phone:** (662) 377-7170 · **Fax:** (662) 377-2423
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** North Mississippi Medical Center, Inc. (NPI 1033585328, Tupelo, MS), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** October 13, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1669922670) · Data from the CMS NPPES public registry.