MONICA JACKSON (NP) – Family Nurse Practitioner, NPI 1184102063

MONICA JACKSON (NP) is a healthcare provider. based in Wylie, Texas. specializing in Family Nurse Practitioner. They hold the professional credentials NP. They hold a License No. AP137790 (TX). The NPI Number for MONICA JACKSON (NP) is 1184102063

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
MONICA JACKSON (NP)
NPI
1184102063
Phone
(972) 900-2374
Address
1104 ARTHURS CT
Enumeration Date
1 August 2018
Last Update Date
1 August 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9722005001
Graduation Year
2018 (8 years ago)
PAC ID
7416206248
Group Practice PAC ID
3375805641
Professional Enrollment ID
I20180828000065
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

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Provider Addresses for MONICA JACKSON (NP)

  • Arthurs Court, Wylie, Collin County, Texas, 75098, United States

    WYLIE, TX 750987542

    Phone: (972) 900-2374

    Type: Mailing

  • Star Court, Plano, Collin County, Texas, 75094, United States

    PLANO, TX 750747353

    Phone: (217) 714-7574

    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 $281.

Total Amount is formed as General ($281) + Research ($0) + Ownership ($0) = $281.

Last reported payment date: 2024-10-07 • Largest payer in this snapshot: ABBVIE INC. ($257).

Total Amount

$281

General + Research + Ownership

Payments

4

Total payment records

General Amount

$281

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-07

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2018-08-28

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
I20180828000065INurse PractitionerTXTBD

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
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes17758$0
G0181Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow4323$0
View full utilization report →

Insurance plans in this area (ZIP 75098)

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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: 3375805641View full group profile
NameSpecialtyState
Nurse PractitionerTX
Family PracticeMD
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Family PracticeAR
Hospitalist, Family PracticeTX
Nurse PractitionerTX
Nurse PractitionerTX
Internal MedicineTX

Reviews

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Frequently asked questions

How is MONICA JACKSON (NP) identified in CMS data?
CMS-hosted NPPES data lists MONICA JACKSON (NP) with NPI 1184102063.
Is MONICA JACKSON (NP) still practicing?
MONICA JACKSON (NP) is currently listed as active in the public NPI registry.
What is MONICA JACKSON (NP)'s primary classification?
Family Nurse Practitioner is the headline specialty for MONICA JACKSON (NP) here. Clinical services aligned with this taxonomy classification.
What address line appears for MONICA JACKSON (NP)?
MONICA JACKSON (NP)'s geographic hint is Wylie, Texas in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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