MS. ANGELIQUE MECHELLE JACKSON (RN, APN-BC) – Family Nurse Practitioner, NPI 1144599366
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,656 NURSE PRACTITIONER in TN
Provider Addresses for MS. ANGELIQUE MECHELLE JACKSON (RN, APN-BC)
3425 MAPLE TIMBER DR
ANTIOCH, TN 370135453
Phone: (678) 754-7728
Type: Mailing
1410 TROTWOOD AVE
COLUMBIA, TN 384014901
Phone: (678) 754-7728
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: 2016-03-15
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 |
|---|---|---|---|---|
| I20160315002895 | I | Nurse Practitioner | TX | 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.
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 | 158 | 92 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 50 | 38 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 40 | 36 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 20 | 19 | $0 |
Insurance plans in this area (ZIP 37013)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | - | |
| Diagnostic Radiology | OH | |
| O P T O M E T R Y | NM | |
| Family Practice | AZ | |
| Nurse Practitioner | AZ | |
| Emergency Medicine | VA | |
| Nurse Practitioner | MD | |
| Diagnostic Radiology | MI | |
| - | AZ | |
| Emergency Medicine | AZ |
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