MRS. TRACI ANN JACKSON CNP
NPI 1689015778
Nurse Practitioner - Family in Columbus, OH
About Mrs. Traci Ann Jackson Cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. TRACI ANN JACKSON CNP (NPI 1689015778) is an individual family provider in Columbus, Ohio, licensed in Ohio (COA.14777-NP) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Traci Ann Jackson Cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Traci Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Columbus, OH 43215
- Reassigned Medicare billing, Ohio enrollment
- 138 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 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 43214 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
COLUMBUS, OH 43214
COLUMBUS, OH 43214
COLUMBUS, OH 43214
COLUMBUS, OH 43214
COLUMBUS, OH 43214
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 Traci Jackson's NPI number?
The NPI number for Traci Jackson is 1689015778. It was assigned to this individual provider in the NPPES registry on July 17, 2013.
Where is Traci Jackson located?
Traci Jackson practices at 3535 Olentangy River Rd, Columbus, OH 43214. The listed phone number is (614) 566-1997.
What is Traci Jackson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Traci Jackson enrolled in Medicare?
Yes. Traci Jackson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Traci Jackson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Traci Jackson reassigns Medicare benefits to Mid-Ohio Emergency Services, LLC (Columbus, OH). 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 Traci Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Traci Jackson was last updated on July 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Mrs. Traci Ann Jackson, CNP · NPI 1689015778
Family physician in Columbus, Ohio. Individual provider, active in the CMS NPPES registry since July 17, 2013.
## Identity
- **NPI:** 1689015778 (Entity type: Individual)
- **Enumerated:** July 17, 2013
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** COA.14777-NP (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 3535 OLENTANGY RIVER RD, Columbus, OH 43214-3908
- **Phone:** (614) 566-1997
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mid-Ohio Emergency Services, LLC (NPI 1386691780, Columbus, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 17, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1689015778) · Data from the CMS NPPES public registry.