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

Active since November 08, 2010PECOS Enrolled
3333 CENTRAL ST, EVANSTON, IL 60201(866) 389-2727 Get Directions Write a Review

NPPES record last updated: July 24, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 24, 2023, Jul 26, 2022, Aug 30, 2019 (3 updates tracked since 2019).

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Tracy Jackson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Endeavor Health Medical Group
2.2 mi
Allergy & Immunology
1000 CENTRAL ST
Evanston, IL 60201
  • Reassigned Medicare billing, Illinois enrollment
  • 4,841 clinicians in this Medicare group
NPI 1497701882 (847) 570-5235
Minuteclinic Diagnostic Of Illinois PLLC
40 mi
Family
11200 W LINCOLN HWY
Mokena, IL 60448
  • Reassigned Medicare billing, Illinois enrollment
  • 223 clinicians in this Medicare group
NPI 1356485809 (866) 389-2727

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 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.

Other Providers at the Same Location NPPES 8

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

MANIJEH GHAFOURI
Nurse Practitioner (Family)
3333 CENTRAL ST
EVANSTON, IL 60201
Cook County (847) 869-3800
MS. MAUREEN ELIZABETH WALSH FNP
Nurse Practitioner (Family)
3333 CENTRAL ST
EVANSTON, IL 60201
Cook County (866) 389-2727
DR. PREETHA P VERGHESE PHARMD
Pharmacist
3333 CENTRAL ST
EVANSTON, IL 60201
Cook County (847) 869-3800
KARI JO SPALLONE RPH
Pharmacist
3333 CENTRAL ST
EVANSTON, IL 60201
Cook County (847) 869-3800
HIGHLAND PARK CVS LLC
Pharmacy
3333 CENTRAL ST
EVANSTON, IL 60201
Cook County (847) 869-3800
MRS. LISA MARIE DILICH RPH
Pharmacist
3333 CENTRAL ST
EVANSTON, IL 60201
Cook County (847) 869-3800
MRS. BETH N DIVIACCHI FNP-C
Nurse Practitioner (Family)
3333 CENTRAL ST
EVANSTON, IL 60201
Cook County (866) 389-2727
JULIA SHIHEIBER NP-C
Nurse Practitioner (Family)
3333 CENTRAL ST
EVANSTON, IL 60201
Cook County (866) 389-2727

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 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.

Where is Tracy Jackson located?

Tracy Jackson practices at 3333 Central St, Evanston, IL 60201. The listed phone number is (866) 389-2727.

What is Tracy Jackson's specialty?

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

Is Tracy Jackson enrolled in Medicare?

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

Which organizations bill Medicare for Tracy Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tracy Jackson reassigns Medicare benefits to 2 organizations: Endeavor Health Medical Group (Evanston, IL) and Minuteclinic Diagnostic Of Illinois PLLC (Mokena, IL). 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 Tracy 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 Tracy Jackson was last updated on July 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.