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MS. TAMIKA LACHELLE JACKSON DNP, FNP, AG-ACNP
NPI 1801362611
Nurse Practitioner - Acute Care in San Francisco, CA

Active since October 18, 2018PECOS Enrolled
400 PARNASSUS AVE STE 501, SAN FRANCISCO, CA 94143(415) 353-1606 Get Directions Write a Review

NPPES record last updated: January 3, 2019. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jan 3, 2019, Oct 22, 2018, Oct 18, 2018 (3 updates tracked since 2018).

About Ms. Tamika Lachelle Jackson Dnp, Fnp, Ag-acnp NPPES

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

MS. TAMIKA LACHELLE JACKSON DNP, FNP, AG-ACNP (NPI 1801362611) is an individual acute care provider in San Francisco, California, licensed in California (95010766) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801362611
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMS. TAMIKA LACHELLE JACKSONCredential: DNP, FNP, AG-ACNP
Location Address400 PARNASSUS AVE STE 501San Francisco, CA 94143-2202
Mailing Address400 Parnassus Ave Fl 6San Francisco, CA 94143-2202 · (415) 353-1606 · Fax (415) 353-1213
Phone(415) 353-1606
Sole ProprietorNo
Enumeration DateOctober 18, 2018
Last NPPES UpdateJanuary 3, 20193 updates tracked since enumeration
✔ NPI 1801362611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
Licenses✔ Licensed in CA · 95010766✔ Licensed in TN · 22285
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 22285 (TN)
400 PARNASSUS AVE STE 501, San Francisco, CA 94143
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Tamika Lachelle Jackson Dnp, Fnp, Ag-acnp 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.

Medicare Billing Reassignments

5

Medicare enrollment records show Tamika Jackson reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ucsf Medical Group Business Services
Same address
Internal Medicine
400 PARNASSUS AVE
San Francisco, CA 94122
  • Reassigned Medicare billing, California enrollment
  • 5,544 clinicians in this Medicare group
NPI 1477624104 (415) 353-2808
University Of California San Francisco
Same address
Internal Medicine
400 PARNASSUS AVE
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 5,645 clinicians in this Medicare group
NPI 1164512851 (415) 476-1000
Regents Of The University Of California
0.1 mi
Endocrinology, Diabetes & Metabolism
505 PARNASSUS AVE
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 2,112 clinicians in this Medicare group
NPI 1376613943 (415) 353-2350
Ucsf Dept Of Surgery
0.1 mi
Surgery
505 PARNASSUS AVE
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 761 clinicians in this Medicare group
NPI 1477627537 (415) 353-2161
Ucsf Pediatrics Associates
0.1 mi
Pediatrics
505 PARNASSUS AVE
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 1,159 clinicians in this Medicare group
NPI 1376614016 (415) 353-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94143 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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 13

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

DR. ARICK CHARLES PARK MD
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
400 PARNASSUS AVE STE 501
SAN FRANCISCO, CA 94143
San Francisco County (415) 353-2873
MARKO BOSKOVSKI M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
400 PARNASSUS AVE STE 501
SAN FRANCISCO, CA 94143
San Francisco County (415) 353-1616
NATALIE RICE PA-S
Physician Assistant
400 PARNASSUS AVE STE 501
SAN FRANCISCO, CA 94143
San Francisco County (415) 502-7437
NEAL RONE-HWA YUAN
Internal Medicine (Cardiovascular Disease)
400 PARNASSUS AVE STE 501
SAN FRANCISCO, CA 94143
San Francisco County (415) 353-2873
KIMBERLY TRINKINO NP
Nurse Practitioner (Acute Care)
400 PARNASSUS AVE STE 501
SAN FRANCISCO, CA 94143
San Francisco County (415) 353-9088
SONIA GARG M.D.
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
400 PARNASSUS AVE STE 501
SAN FRANCISCO, CA 94143
San Francisco County (415) 353-2873
JORDYN CHRISTINE BLACKBURN NP
Nurse Practitioner (Acute Care)
400 PARNASSUS AVE STE 501
SAN FRANCISCO, CA 94143
San Francisco County (415) 502-4243
PETER I TENG M.D.
Internal Medicine (Cardiovascular Disease)
400 PARNASSUS AVE STE 501
SAN FRANCISCO, CA 94143
San Francisco County (415) 353-2873

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 Tamika Jackson's NPI number?

The NPI number for Tamika Jackson is 1801362611. It was assigned to this individual provider in the NPPES registry on October 18, 2018.

Where is Tamika Jackson located?

Tamika Jackson practices at 400 Parnassus Ave Ste 501, San Francisco, CA 94143. The listed phone number is (415) 353-1606.

What is Tamika Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Tamika Jackson enrolled in Medicare?

Yes. Tamika Jackson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Tamika Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tamika Jackson reassigns Medicare benefits to 5 organizations: Ucsf Medical Group Business Services (San Francisco, CA), University Of California San Francisco (San Francisco, CA), Regents Of The University Of California (San Francisco, CA), Ucsf Dept Of Surgery (San Francisco, CA) and Ucsf Pediatrics Associates (San Francisco, CA). 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 Tamika 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 Tamika Jackson was last updated on January 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.