BRETT JACKSON FNP
NPI 1669941290
Nurse Practitioner in Tullahoma, TN

Q: What is Brett Jackson's NPI number?

The NPI number for Brett Jackson is 1669941290. It was assigned to this individual provider in the NPPES registry on November 13, 2018.

Q: What is Brett Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Brett Jackson was last updated on February 20, 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.

Active since November 13, 2018PECOS EnrolledAccepts Medicare Assignment

215 S ANDERSON ST, TULLAHOMA, TN 37388(931) 563-7464(931) 563-7401 Get Directions Write a Review

NPPES record last updated: February 20, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 13, 2020, Jul 3, 2019, May 24, 2019 and 1 more (4 updates tracked since 2018).

On this page

About Brett Jackson Fnp NPPES

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

BRETT JACKSON FNP (NPI 1669941290) is an individual nurse practitioner in Tullahoma, Tennessee, licensed in Tennessee (25168) and active in the NPI registry since November 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1669941290

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameBRETT JACKSONCredential: FNP

Location Address215 S ANDERSON STTullahoma, TN 37388-3735

Mailing AddressPo Box 326Winchester, TN 37398-0326 · (931) 563-7464 · Fax (931) 563-7401

Phone(931) 563-7464

Fax(931) 563-7401

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateNovember 13, 2018

Last NPPES UpdateFebruary 20, 20244 updates tracked since enumeration

NPPES CertifiedFebruary 20, 2024

✔ NPI 1669941290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in TN · 25168

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 25168 (TN)

215 S ANDERSON ST, Tullahoma, TN 37388

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama 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

Brett Jackson Fnp 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 ID1759621857

PECOS Enrollment IDI20190328000982

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 Brett Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tlc Family Health & Hormone PLLC

Same address

Family

215 S ANDERSON ST
Tullahoma, TN 37388

Reassigned Medicare billing, Tennessee enrollment
Medicare enrollment name: Tlc Family Health & Hormonepllc
3 clinicians in this Medicare group

NPI 1164993689 (931) 563-7464

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 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

77 services38 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

28 services20 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37388 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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 5

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

LADONNA MARIE LEDFORD NP

Nurse Practitioner (Family)