MR. JACKSON E. TILLQUIST ARNP
NPI 1720442940
Nurse Practitioner in Safety Harbor, FL
About Mr. Jackson E. Tillquist Arnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JACKSON E. TILLQUIST ARNP (NPI 1720442940) is an individual nurse practitioner in Safety Harbor, Florida, licensed in Florida (ARNP9258226) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Morton Plant Hospital, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 3
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
Mr. Jackson E. Tillquist Arnp 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 Jackson Tillquist reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Clearwater, FL 33759
- Reassigned Medicare billing, Florida enrollment
- 2,009 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 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Morton Plant Hospital
Acute Care Hospitals · Clearwater, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 34695 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.
SAFETY HARBOR, FL 34695
SAFETY HARBOR, FL 34695
SAFETY HARBOR, FL 34695
SAFETY HARBOR, FL 34695
SAFETY HARBOR, FL 34695
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 Jackson Tillquist's NPI number?
The NPI number for Jackson Tillquist is 1720442940. It was assigned to this individual provider in the NPPES registry on April 13, 2016.
Where is Jackson Tillquist located?
Jackson Tillquist practices at 1840 Mease Dr Suite 200, Safety Harbor, FL 34695. The listed phone number is (727) 724-8611.
What is Jackson Tillquist's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Jackson Tillquist enrolled in Medicare?
Yes. Jackson Tillquist 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 Jackson Tillquist's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jackson Tillquist reassigns Medicare benefits to Baycare Medical Group, Inc. (Clearwater, FL). 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 Jackson Tillquist's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jackson Tillquist accept?
Health plans from Ambetter Health, Ambetter from Superior HealthPlan and Ambetter of Alabama list Jackson Tillquist 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 Jackson Tillquist affiliated with any hospitals?
According to CMS data, Jackson Tillquist is affiliated with Morton Plant Hospital.
When was this NPI record last updated?
The NPPES record for Jackson Tillquist was last updated on October 14, 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.
# Mr. Jackson E. Tillquist, ARNP · NPI 1720442940
Nurse Practitioner physician in Safety Harbor, Florida. Individual provider, active in the CMS NPPES registry since April 13, 2016.
## Identity
- **NPI:** 1720442940 (Entity type: Individual)
- **Enumerated:** April 13, 2016
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** ARNP9258226 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 1840 MEASE DR, SUITE 200, Safety Harbor, FL 34695-6602
- **Phone:** (727) 724-8611 · **Fax:** (727) 724-0425
## 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:** Baycare Medical Group, Inc. (NPI 1043269871, Clearwater, FL), 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 14, 2016
- **Other identifiers:** Medicare PIN IS028Y (FL); Medicaid 018482900 (FL); Medicare PIN IS028Z (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1720442940) · Data from the CMS NPPES public registry.