MRS. ETOSHIA JACKSON DNP, FNP-C
NPI 1982248779
Nurse Practitioner - Family in Memphis, TN

Active since November 05, 2019PECOS EnrolledAccepts Medicare Assignment
75.06/100
CMS Quality Rating
877 JEFFERSON AVE, MEMPHIS, TN 38103(901) 545-6286 Get Directions Write a Review

NPPES record last updated: November 5, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Etoshia Jackson Dnp, Fnp-c NPPES

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

MRS. ETOSHIA JACKSON DNP, FNP-C (NPI 1982248779) is an individual family provider in Memphis, Tennessee, licensed in Tennessee (26787) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS, is affiliated with Regional One Health, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2014).

NPPES Registry Identity

NPI1982248779
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. ETOSHIA JACKSONCredential: DNP, FNP-C
Location Address877 JEFFERSON AVEMemphis, TN 38103-2807
Mailing Address6208 Joy Blvd SHorn Lake, MS 38637-2462
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2014
Enumeration DateNovember 5, 2019
NPI 1982248779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TN · 26787
877 JEFFERSON AVE, Memphis, TN 38103

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

Mrs. Etoshia Jackson Dnp, Fnp-c 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 ID9234566357
PECOS Enrollment IDI20200228002094
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
44 services26 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Regional One Health

Acute Care Hospitals · Memphis, TN
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440152
Location877 Jefferson AvenueMemphis, TN 38103 · Shelby County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38103 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.46
Improvement Activities40
Cost71.87

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 (Neonatal-Perinatal Medicine)
877 JEFFERSON AVE
MEMPHIS, TN 38103
Nurse Anesthetist, Certified Registered
877 JEFFERSON AVE
MEMPHIS, TN 38103
Skilled Nursing Facility
877 JEFFERSON AVE, 3RD FLOOR, ADAMS PAVILION
MEMPHIS, TN 38103
Pediatrics (Neonatal-Perinatal Medicine)
877 JEFFERSON AVE
MEMPHIS, TN 38103
Nurse Anesthetist, Certified Registered
877 JEFFERSON AVE
MEMPHIS, TN 38103
Nurse Practitioner (Family)
877 JEFFERSON AVE
MEMPHIS, TN 38103
Dietitian, Registered
877 JEFFERSON AVE
MEMPHIS, TN 38103
Nurse Anesthetist, Certified Registered
877 JEFFERSON AVE
MEMPHIS, TN 38103

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 Etoshia Jackson's NPI number?

The NPI number for Etoshia Jackson is 1982248779. It was assigned to this individual provider in the NPPES registry on November 5, 2019.

Where is Etoshia Jackson located?

Etoshia Jackson practices at 877 Jefferson Ave, Memphis, TN 38103. The listed phone number is (901) 545-6286.

What is Etoshia Jackson's specialty?

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

Is Etoshia Jackson enrolled in Medicare?

Yes. Etoshia 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 Etoshia Jackson accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Etoshia 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 Etoshia Jackson affiliated with any hospitals?

According to CMS data, Etoshia Jackson is affiliated with Regional One Health.

When was this NPI record last updated?

The NPPES record for Etoshia Jackson was last updated on November 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.