MRS. TRACY I JACKSON APRN, FNP-BC - NPI 1871894899 - Nurse Practitioner in Evanston, IL

Q: What is Tracy Jackson's NPI number?

The NPI number for Tracy Jackson is 1871894899. It was assigned to this individual provider in the NPPES registry on November 8, 2010.

Q: What is Tracy Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Tracy Jackson was last updated on July 24, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mrs. Tracy I Jackson Aprn, Fnp-bc NPPES

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

MRS. TRACY I JACKSON APRN, FNP-BC (NPI 1871894899) is an individual family provider in Evanston, Illinois, licensed in Illinois (209012646) and active in the NPI registry since November 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871894899

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. TRACY I JACKSONCredential: APRN, FNP-BC

Location Address3333 CENTRAL STEvanston, IL 60201-1150

Mailing Address1810 Lake StreetEvanston, IL 60201 · (847) 563-0295

Phone(866) 389-2727

Sole ProprietorNo

Enumeration DateNovember 8, 2010

Last NPPES UpdateJuly 24, 20233 updates tracked since enumeration

NPPES CertifiedJuly 24, 2023

✔ NPI 1871894899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IL · 209012646

Also ListedRegistered NurseTaxonomy 163W00000X · License 041315953 (IL)

3333 CENTRAL ST, Evanston, IL 60201

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Tracy I Jackson Aprn, Fnp-bc 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60201 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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.