MS. DEBRA LYNN JACKLEY (AGACNP) – Acute Care Nurse Practitioner, NPI 1104475482

MS. DEBRA LYNN JACKLEY (AGACNP) is a healthcare provider. based in Tucson, Arizona. specializing in NURSE PRACTITIONER. They hold the professional credentials AGACNP. They hold a License No. 137103 (AZ). The NPI Number for MS. DEBRA LYNN JACKLEY (AGACNP) is 1104475482

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
MS. DEBRA LYNN JACKLEY (AGACNP)
NPI
1104475482
Phone
(520) 873-3077
Address
350 N Wilmot Rd
Enumeration Date
9 September 2019
Last Update Date
15 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5208383540
Graduation Year
2019 (7 years ago)
PAC ID
9133451081
Group Practice PAC ID
6507751294
Professional Enrollment ID
I20191028000603
Address ID
AZ856146336GR4475XRDXX603
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

7,504 NURSE PRACTITIONER in AZ

Provider Addresses for MS. DEBRA LYNN JACKLEY (AGACNP)

  • 350 N Wilmot Rd

    Tucson, AZ 857112602

    Phone: (520) 873-3077

    Type: Location

  • 9562, East 29th Street, Tucson, Pima County, Arizona, 85748, United States

    TUCSON, AZ 857488102

    Phone: (520) 576-8153

    Type: Mailing

  • Saint Joseph's Hospital, 350, North Wilmot Road, Tucson, Pima County, Arizona, 85711, United States

    TUCSON, AZ 857112602

    Phone: (520) 873-3077

    Type: Location

  • 555 E RIVER RD STE 101

    TUCSON, AZ 857045843

    Phone: (520) 838-3540

    Fax: (520) 325-3526

    Type: Mailing

  • 2404 E RIVER RD STE 251

    TUCSON, AZ 857186523

    Phone: (520) 838-3540

    Fax: (520) 325-3526

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 39 Open Payments records for all available years, with a total value of $1,637.

Total Amount is formed as General ($1,637) + Research ($0) + Ownership ($0) = $1,637.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Medtronic, Inc. ($1,153).

Total Amount

$1,637

General + Research + Ownership

Payments

39

Total payment records

General Amount

$1,637

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-10-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20191028000603INurse PractitionerAZTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes8977$0
99203New patient office or other outpatient visit, 30-44 minutes4242$0
99214Established patient office or other outpatient visit, 30-39 minutes3433$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes3223$0
99212Established patient office or other outpatient visit, 10-19 minutes2219$0
View full utilization report →

Insurance plans in this area (ZIP 85711)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6507751294View full group profile
NameSpecialtyState
Nuclear Medicine, Cardiovascular Disease (Cardiology)AZ
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)AZ
Cardiovascular Disease (Cardiology)AZ
Vascular Surgery, General SurgeryAZ
Cardiovascular Disease (Cardiology)AZ
Cardiovascular Disease (Cardiology)AZ
Nurse PractitionerAZ
Cardiovascular Disease (Cardiology)AZ
-AZ
Thoracic Surgery, Cardiac SurgeryAZ

Reviews

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Frequently asked questions

Can I cross-check MS. DEBRA LYNN JACKLEY (AGACNP) using NPI 1104475482?
NPI 1104475482 belongs to MS. DEBRA LYNN JACKLEY (AGACNP); compare other details if you need extra assurance.
Is there an active status for MS. DEBRA LYNN JACKLEY (AGACNP)?
For scheduling context, MS. DEBRA LYNN JACKLEY (AGACNP) is shown as active in the registry.
What area of care is associated with MS. DEBRA LYNN JACKLEY (AGACNP)?
MS. DEBRA LYNN JACKLEY (AGACNP)'s record emphasizes Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MS. DEBRA LYNN JACKLEY (AGACNP) associated with Tucson?
Public fields place MS. DEBRA LYNN JACKLEY (AGACNP) around Tucson, Arizona. Always confirm the exact site before visiting.
Does MS. DEBRA LYNN JACKLEY (AGACNP) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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