Tanagra Jackson, FNP - Medicare Nurse Practitioner in Nuevo, CA

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Tanagra Jackson, FNP is a medicare enrolled "Nurse Practitioner" in Nuevo, California. Her current practice location is 30427 Delta Dr, Nuevo, California. You can reach out to her office (for appointments etc.) via phone at (773) 530-5217.

Tanagra Jackson is licensed to practice in California (license number 95021964) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1912620022.

Contact Information

Tanagra Jackson, FNP
30427 Delta Dr,
Nuevo, CA 92567-9470
(773) 530-5217
Not Available

Map and Direction




Provider's Profile

Full NameTanagra Jackson
GenderFemale
SpecialityNurse Practitioner
Location30427 Delta Dr, Nuevo, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1912620022
  • Provider Enumeration Date: 09/22/2022
  • Last Update Date: 08/03/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2466818505
  • Enrollment ID: I20230516002834

Medical Identifiers

Medical identifiers for Tanagra Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912620022NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 95021964 (California)Secondary
363L00000XNurse Practitioner 95021964 (California)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. Tanagra 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
Tanagra Jackson, FNP
30427 Delta Dr,
Nuevo, CA 92567-9470

Ph: (773) 530-5217		Tanagra Jackson, FNP
30427 Delta Dr,
Nuevo, CA 92567-9470

Ph: (773) 530-5217

Reviews and Comments


Nurse Practitioner Nurses in Nuevo, CA


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.