MRS. TERESA CLOYEDETTE JACKSON CRNP
NPI 1700016300
Nurse Practitioner - Acute Care in Huntsville, AL

Q: What is Teresa Jackson's NPI number?

The NPI number for Teresa Jackson is 1700016300. It was assigned to this individual provider in the NPPES registry on July 17, 2009.

Q: What is Teresa 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 Teresa Jackson was last updated on August 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 July 17, 2009PECOS Enrolled

2780 BOB WALLACE AVE SW, HUNTSVILLE, AL 35805(256) 533-4626(256) 533-4710 Get Directions Write a Review

NPPES record last updated: August 24, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Teresa Cloyedette Jackson Crnp NPPES

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

MRS. TERESA CLOYEDETTE JACKSON CRNP (NPI 1700016300) is an individual acute care provider in Huntsville, Alabama, licensed in Alabama (1-037414) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700016300

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameMRS. TERESA CLOYEDETTE JACKSONCredential: CRNP

Location Address2780 BOB WALLACE AVE SWHuntsville, AL 35805-4104

Mailing Address2780 Bob Wallace Ave SwHuntsville, AL 35805-4104 · (256) 533-4626 · Fax (256) 533-4710

Phone(256) 533-4626

Fax(256) 533-4710

Sole ProprietorNo

Enumeration DateJuly 17, 2009

Last NPPES UpdateAugust 24, 2021

NPPES CertifiedAugust 24, 2021

✔ NPI 1700016300 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 AL · 1-037414

2780 BOB WALLACE AVE SW, Huntsville, AL 35805

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Teresa Cloyedette Jackson Crnp 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 35805 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

$81.90 typical visit price

range $52.65 – $161.63

Typical copayment $20.47 (range $13.16 – $40.40)

Most-billed visit code 99203

Established Patient

$93.72 typical visit price

range $16.56 – $131.65

Typical copayment $23.43 (range $4.14 – $32.91)

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.

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Other Providers at the Same Location NPPES 12

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

ALLISON NICOLE BROWN CRNP

Nurse Practitioner (Primary Care)