Mrs Tanisha A Johnson-jackson, - Nurse Practitioner in Centerville, OH

Mrs Tanisha A Johnson-jackson, is a Nurse Practitioner based in Centerville, Ohio. Mrs Tanisha A Johnson-jackson is licensed to practice in Ohio (license number APRN.CNP.026724) and her current practice location is 7095 Clyo Rd, Centerville, Ohio. She can be reached at her office (for appointments etc.) via phone at (937) 458-5084.

NPI number for Mrs Tanisha A Johnson-jackson is 1477218113 and her current mailing address is 1755 Fallbrook Ln, Cincinnati, Ohio. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1477218113.

Contact Information

Mrs Tanisha A Johnson-jackson,
7095 Clyo Rd,
Centerville, OH 45459-4816
(937) 458-5084
(937) 458-5089

Map and Direction




Provider's Profile

Full NameMrs Tanisha A Johnson-jackson
GenderFemale
SpecialityNurse Practitioner
Location7095 Clyo Rd, Centerville, Ohio
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1477218113
  • Provider Enumeration Date: 11/08/2021
  • Last Update Date: 11/16/2021

Medical Identifiers

Medical identifiers for Mrs Tanisha A Johnson-jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477218113NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health APRN.CNP.026724 (Ohio)Secondary
363LG0600XNurse Practitioner - Gerontology APRN.CNP.062724 (Ohio)Secondary
363L00000XNurse Practitioner APRN.CNP.026724 (Ohio)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Tanisha A Johnson-jackson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Tanisha A Johnson-jackson,
1755 Fallbrook Ln,
Cincinnati, OH 45240-1011

Ph: () -
Mrs Tanisha A Johnson-jackson,
7095 Clyo Rd,
Centerville, OH 45459-4816

Ph: (937) 458-5084

Reviews and Comments


Nurse Practitioner Nurses in Centerville, OH

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Phone: 937-208-8282    
Terri M Caputo-jones, CRNP
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Medicare: Medicare Enrolled
Practice Location: 330 N Main St, Centerville, OH 45459
Phone: 937-435-1445    Fax: 937-439-7552
Alysha Weeter,
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Marie Middleton, NP-C
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Medicare: Accepting Medicare Assignments
Practice Location: 7740 Washington Village Dr, Ste 120, Centerville, OH 45459
Phone: 937-439-7411    Fax: 937-433-8030

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.