TERESA A JACKSON (ARNP) – Family Nurse Practitioner, NPI 1528160181
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for TERESA A JACKSON (ARNP)
5607 NW 27TH AVE STE 1
MIAMI, FL 331422826
Phone: (305) 805-1700
Fax: (305) 805-1715
Type: Mailing
4692, Northwest 183rd Street, Miami Gardens, Miami-Dade County, Florida, 33055, United States
MIAMI GARDENS, FL 330553054
Phone: (305) 637-6400
Fax: (305) 623-0998
Type: Mailing
20612 NW 27TH AVE
MIAMI GARDENS, FL 330561469
Phone: (305) 637-6400
Fax: (305) 636-5155
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $105.
Total Amount is formed as General ($105) + Research ($0) + Ownership ($0) = $105.
Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($34).
Total Amount
$105
General + Research + Ownership
Payments
4
Total payment records
General Amount
$105
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-30
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2003-11-18
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20031118000506 | I | Nurse Practitioner | FL | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33142)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Registered Dietitian Or Nutrition Professional | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Clinical Social Worker | FL | |
| Internal Medicine | FL | |
| P O D I A T R Y | CA | |
| Family Practice | FL | |
| Mental Health Counselor | FL | |
| Nurse Practitioner | FL | |
| - | FL |
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