TARA NAOMI JACKSON DO
NPI 1770072332
Family Medicine in West Plains, MO
About Tara Naomi Jackson Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TARA NAOMI JACKSON DO (NPI 1770072332) is an individual family medicine provider in West Plains, Missouri, licensed in Missouri (2021028685) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, is affiliated with Ozarks Healthcare, and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (2018).
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
Tara Naomi Jackson Do 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 Reassignments
2Medicare enrollment records show Tara Jackson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
West Plains, MO 65775
- Reassigned Medicare billing, Missouri enrollment
- 12 clinicians in this Medicare group
O Fallon, MO 63368
- Reassigned Medicare billing, Missouri enrollment
- 12 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ozarks Healthcare
Acute Care Hospitals · West Plains, MOSt Lukes Hospital
Acute Care Hospitals · Chesterfield, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 65775 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.
WEST PLAINS, MO 65775
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 Tara Jackson's NPI number?
The NPI number for Tara Jackson is 1770072332. It was assigned to this individual provider in the NPPES registry on May 8, 2018.
Where is Tara Jackson located?
Tara Jackson practices at 1137 Independence Dr, West Plains, MO 65775. The listed phone number is (417) 255-8464.
What is Tara Jackson's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Tara Jackson enrolled in Medicare?
Yes. Tara 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 organizations bill Medicare for Tara Jackson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tara Jackson reassigns Medicare benefits to 2 organizations: Rural Alliance For Better Family Health (West Plains, MO) and Tri-County Family Practice, LLC (O Fallon, MO). Each 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 Tara Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tara Jackson accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 5 other insurers list Tara 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 Tara Jackson affiliated with any hospitals?
According to CMS data, Tara Jackson is affiliated with Ozarks Healthcare and St Lukes Hospital.
When was this NPI record last updated?
The NPPES record for Tara Jackson was last updated on August 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Tara Naomi Jackson, DO · NPI 1770072332
Family Medicine physician in West Plains, Missouri. Individual provider, active in the CMS NPPES registry since May 8, 2018.
## Identity
- **NPI:** 1770072332 (Entity type: Individual)
- **Enumerated:** May 8, 2018
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 2021028685 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 1137 INDEPENDENCE DR, West Plains, MO 65775-4221
- **Phone:** (417) 255-8464
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Rural Alliance For Better Family Health (NPI 1144280132, West Plains, MO); Tri-County Family Practice, LLC (NPI 1285720169, O Fallon, MO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** At Still University Of Health Sciences, College Of Osteo Med, Kirksville, class of 2018
## Record status
- **NPPES last updated:** August 4, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1770072332) · Data from the CMS NPPES public registry.