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

Active since October 18, 2018PECOS EnrolledAccepts Medicare Assignment
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: August 02, 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 and is a graduate of Other (2016).

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
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
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

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

Ms. Tamika Lachelle Jackson Dnp, Fnp, Ag-acnp 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 ID7012257983
PECOS Enrollment IDI20190313001185
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 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.

Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
400 PARNASSUS AVE STE 501
SAN FRANCISCO, CA 94143
Thoracic Surgery (Cardiothoracic Vascular Surgery)
400 PARNASSUS AVE STE 501
SAN FRANCISCO, CA 94143
Physician Assistant
400 PARNASSUS AVE STE 501
SAN FRANCISCO, CA 94143
Internal Medicine (Cardiovascular Disease)
400 PARNASSUS AVE STE 501
SAN FRANCISCO, CA 94143
Nurse Practitioner (Acute Care)
400 PARNASSUS AVE STE 501
SAN FRANCISCO, CA 94143
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
400 PARNASSUS AVE STE 501
SAN FRANCISCO, CA 94143
Nurse Practitioner (Acute Care)
400 PARNASSUS AVE STE 501
SAN FRANCISCO, CA 94143
Internal Medicine (Cardiovascular Disease)
400 PARNASSUS AVE STE 501
SAN FRANCISCO, CA 94143

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

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.