Mrs Tracy I Jackson, APRN, FNP-BC - Medicare Nurse Practitioner in Evanston, IL

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Mrs Tracy I Jackson, APRN, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Evanston, Illinois. She graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Minuteclinic Diagnostic Of Illinois Llc and her current practice location is 3333 Central St, Evanston, Illinois. You can reach out to her office (for appointments etc.) via phone at (866) 389-2727.

Mrs Tracy I Jackson is licensed to practice in Illinois (license number 209012646) 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 1871894899.

Contact Information

Mrs Tracy I Jackson, APRN, FNP-BC
3333 Central St,
Evanston, IL 60201-1150
(866) 389-2727
Not Available

Map and Direction




Provider's Profile

Full NameMrs Tracy I Jackson
GenderFemale
SpecialityNurse Practitioner
Experience11 Years
Location3333 Central St, Evanston, Illinois
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 Tracy I Jackson graduated from nursing school in 2013
  NPI Data:
  • NPI Number: 1871894899
  • Provider Enumeration Date: 11/08/2010
  • Last Update Date: 07/24/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3375850126
  • Enrollment ID: I20150911000779

Medical Identifiers

Medical identifiers for Mrs Tracy I Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871894899NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 041315953 (Illinois)Secondary
363LF0000XNurse Practitioner - Family 209012646 (Illinois)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Minuteclinic Diagnostic Of Illinois Llc8729171566126

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 Tracy I Jackson allows following entities to bill medicare on her behalf.
Entity NameNorthshore University Healthsystem Faculty Practice Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497701882
PECOS PAC ID: 2163334699
Enrollment ID: O20040524000118
Entity NameMinuteclinic Diagnostic Of Illinois Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356485809
PECOS PAC ID: 8729171566
Enrollment ID: O20070910000607

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 Tracy I 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 Tracy I Jackson, APRN, FNP-BC
1810 Lake Street,
Evanston, IL 60201

Ph: (847) 563-0295		Mrs Tracy I Jackson, APRN, FNP-BC
3333 Central St,
Evanston, IL 60201-1150

Ph: (866) 389-2727

Reviews and Comments


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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.