TARA NAOMI JACKSON DO
NPI 1770072332
Family Medicine in West Plains, MO

Active since May 08, 2018PECOS EnrolledAccepts Medicare Assignment
1137 INDEPENDENCE DR, WEST PLAINS, MO 65775(417) 255-8464 Get Directions Write a Review

NPPES record last updated: August 4, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 4, 2021, May 8, 2018 (2 updates tracked since 2018).

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

NPI1770072332
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameTARA NAOMI JACKSONCredential: DO
Location Address1137 INDEPENDENCE DRWest Plains, MO 65775-4221
Mailing Address1137 Independence DrWest Plains, MO 65775-4221 · (417) 255-8464 · Fax (405) 231-3037
Sole ProprietorNo
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 2018
Enumeration DateMay 8, 2018
Last NPPES UpdateAugust 4, 20212 updates tracked since enumeration
NPPES CertifiedAugust 3, 2021
NPI 1770072332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MO · 2021028685
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1137 INDEPENDENCE DR, West Plains, MO 65775

Accepted Insurance

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID9133524812
PECOS Enrollment IDI20210818001442
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.

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, MO
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260078
Location1100 Kentucky AveWest Plains, MO 65775 · Howell County
Emergency services Birthing friendly

St Lukes Hospital

Acute Care Hospitals · Chesterfield, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260179
Location232 S Woods Mill RdChesterfield, MO 63017 · St. Louis County
Emergency services Birthing friendly

Physician 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.

New Patient
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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 20

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

Pediatrics
1137 INDEPENDENCE DR
WEST PLAINS, MO 65775
Nurse Practitioner (Family)
1137 INDEPENDENCE DR
WEST PLAINS, MO 65775
Nurse Practitioner (Family)
1137 INDEPENDENCE DR
WEST PLAINS, MO 65775
Counselor (Professional)
1137 INDEPENDENCE DR
WEST PLAINS, MO 65775
Internal Medicine
1137 INDEPENDENCE DR
WEST PLAINS, MO 65775
Clinic/Center (Federally Qualified Health Center (FQHC))
1137 INDEPENDENCE DR
WEST PLAINS, MO 65775
Nurse Practitioner (Family)
1137 INDEPENDENCE DR
WEST PLAINS, MO 65775
Dentist
1137 INDEPENDENCE DR
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.

What insurance does Tara Jackson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan 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 with the weekly NPPES data releases published by CMS.