Mrs Tiffany R Jackson, NP - Medicare Nurse Practitioner in Hastings, MI

Mrs Tiffany R Jackson, NP is a medicare enrolled "Nurse Practitioner" in Hastings, Michigan. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Thornapple Valley Family Physicians Pc and her current practice location is 1108 W State St, Suite 3, Hastings, Michigan. You can reach out to her office (for appointments etc.) via phone at (269) 945-0922.

Mrs Tiffany R Jackson is licensed to practice in Michigan (license number 4704240163) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1093066086.

Contact Information

Mrs Tiffany R Jackson, NP
1108 W State St, Suite 3,
Hastings, MI 49058-9711
(269) 945-0922
(269) 945-4511

Map and Direction




Provider's Profile

Full NameMrs Tiffany R Jackson
GenderFemale
SpecialityNurse Practitioner
Experience12 Years
Location1108 W State St, Hastings, Michigan
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Tiffany R Jackson graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1093066086
  • Provider Enumeration Date: 10/01/2012
  • Last Update Date: 09/13/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 9335376946
  • Enrollment ID: I20131205000687

Medical Identifiers

Medical identifiers for Mrs Tiffany R Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093066086NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 4704240163 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Great Lakes CaringJackson, MIHome health agency
Spectrum Health PennockHastings, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Thornapple Valley Family Physicians Pc56988232503

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Tiffany R Jackson allows following entities to bill medicare on her behalf.
Entity NameThornapple Valley Family Physicians Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528268513
PECOS PAC ID: 5698823250
Enrollment ID: O20090508000356

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 Tiffany R Jackson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Tiffany R Jackson, NP
100 Michigan St Ne, Mc 845,
Grand Rapids, MI 49503-2560

Ph: () -
Mrs Tiffany R Jackson, NP
1108 W State St, Suite 3,
Hastings, MI 49058-9711

Ph: (269) 945-0922

Reviews and Comments


Nurse Practitioner Nurses in Hastings, MI

Kimberly Porter, CNM, WHNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1005 W Green St Ste 301, Hastings, MI 49058
Phone: 269-945-8080    
Alia Anthony,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1108 W State St, Suite 3, Hastings, MI 49058
Phone: 269-945-0922    
Laura Katherine Bevins, MP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1009 W Green St, Hastings, MI 49058
Phone: 269-945-1212    
Taylor Rose Kroeze, CNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1108 W State St Ste 3, Hastings, MI 49058
Phone: 269-945-0922    
Grant Keith Heide, MSN, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1009 W Green St, Hastings, MI 49058
Phone: 269-945-1212    
Cindy M Bigler, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1009 W Green St, Suite G001, Hastings, MI 49058
Phone: 269-948-7820    

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.