TENA MARIA JACKSON (FNP-BC) – Family Nurse Practitioner, NPI 1114678257

Family Nurse Practitioner

TENA MARIA JACKSON (FNP-BC) is a healthcare provider. based in Reynoldsburg, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. APRN11017532 (FL). The NPI Number for TENA MARIA JACKSON (FNP-BC) is 1114678257

Main info

Female

Sole Proprietor

5 Years Of Experience

Accepts Medicare Assignment

Name

TENA MARIA JACKSON (FNP-BC)

NPI

1114678257

Phone

(614) 863-2000

Address

8467 E Main St

Enumeration Date

11 January 2022

Last Update Date

20 October 2025

Doctor Profile

Medical School Name

OTHER

Secondary Phone

8663892727

Graduation Year

2021 (5 years ago)

PAC ID

8224415633

Group Practice PAC ID

2961425608

Professional Enrollment ID

I20241218002563

Address ID

OH430268129HI4961XRDXX300

Telehealth

Yes

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience63

Completeness85

Years active:4State licenses:5Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for TENA MARIA JACKSON (FNP-BC)

8467 E Main St
Reynoldsburg, OH 430684707
Phone: (614) 863-2000
Fax: (614) 856-9457
Type: Location
12280 Lake Underhill Rd
Orlando, FL 328255009
Phone: (866) 389-2727
Type: Location
452 SE VOLKERTS TER
PORT ST LUCIE, FL 349833873
Phone: (740) 794-1919
Type: Mailing
1300 ST LUCIE W BLVD
CLINIC #5157
PORT ST LUCIE, FL 349862109
Phone: (772) 878-7078
Type: Location
215 TOWN CENTER LOOP
PATASKALA, OH 430627697
Phone: (740) 794-1919
Type: Mailing
60 N STYGLER RD # 3410
GAHANNA, OH 432302435
Phone: (866) 389-2727
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-12-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

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
I20220524000859	I	Nurse Practitioner	FL	TBD
I20241218002563	I	Nurse Practitioner	OH	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.

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

HCPCS	Description	Services	Beneficiaries	Medicare allowed
99213	Established patient office or other outpatient visit, 20-29 minutes	70	66	$0
99203	New patient office or other outpatient visit, 30-44 minutes	34	34	$0
G0008	Administration of influenza virus vaccine	31	31	$0
90694	Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	28	28	$0
81002	Urinalysis, manual test	25	23	$0

View full utilization report →

Insurance plans in this area (ZIP 43068)

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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: 2961425608View full group profile

Name	Specialty	State
DANIELLE LEA BLACK (C.N.P.)	-	OH
RASHELLE LYNN KORBAS (FNP-C)	-	OH
MRS. PING JIN PORTER	Nurse Practitioner	OH
TAKAI DUFF (FNP)	-	OH
SARA ADENE DASO (NP-C)	Nurse Practitioner	OH
ERIN NICOLE PIATT (APRN)	Nurse Practitioner	OH
RACHEL WOLF (CNP)	-	OH
JENIFFER NERONE (NP)	Nurse Practitioner	OH
LYNDSEY RAE PATTERSON (MS-N, FNP-BC)	-	OH
JULIANNE TARA BERISH (CNP)	-	OH

Reviews

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Frequently asked questions

What number should I use to identify TENA MARIA JACKSON (FNP-BC) for billing?

Administrative and clinical systems typically use NPI 1114678257 for TENA MARIA JACKSON (FNP-BC).

Quick check: is TENA MARIA JACKSON (FNP-BC) active?

Public NPPES data shows TENA MARIA JACKSON (FNP-BC) with an active NPI status right now.

Which specialty label fits TENA MARIA JACKSON (FNP-BC)?

NPPES ties TENA MARIA JACKSON (FNP-BC) to Family Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.

Is TENA MARIA JACKSON (FNP-BC) tied to Reynoldsburg, Ohio?

If you are local to Reynoldsburg, Ohio, TENA MARIA JACKSON (FNP-BC) may be relevant to your search.

Can I export TENA MARIA JACKSON (FNP-BC)'s record?

You can download the official NPPES record; we summarize key fields for readability.