TIFFANY MICHELLE JACKSON (FNP-C) – Family Nurse Practitioner, NPI 1073161642
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,307 NURSE PRACTITIONER in VA
Provider Addresses for TIFFANY MICHELLE JACKSON (FNP-C)
100 Cavs Ln
Hillsville, VA 243431669
Phone: (888) 908-4788
Fax: (276) 398-3331
Type: Location
Peppers Ferry Road, Wytheville, Wythe County, Virginia, 24382, United States
WYTHEVILLE, VA 243824966
Phone: (276) 239-1721
Type: Mailing
PO BOX 9
LAUREL FORK, VA 243520009
Phone: (276) 398-1200
Type: Mailing
14558 DANVILLE PIKE
LAUREL FORK, VA 243523982
Phone: (276) 398-2292
Fax: (276) 398-3331
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 85 Open Payments records for all available years, with a total value of $1,627.
Total Amount is formed as General ($1,627) + Research ($0) + Ownership ($0) = $1,627.
Last reported payment date: 2024-11-08 • Largest payer in this snapshot: Forte Bio-Pharma LLC ($224).
Total Amount
$1,627
General + Research + Ownership
Payments
85
Total payment records
General Amount
$1,627
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Forte Bio-Pharma LLC | $224 |
| Novo Nordisk Inc | $211 |
| AstraZeneca Pharmaceuticals LP | $210 |
| Otsuka America Pharmaceutical, Inc. | $99 |
| PFIZER INC. | $95 |
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: 2020-11-10
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 |
|---|---|---|---|---|
| I20201110001825 | I | Nurse Practitioner | VA | 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 24343)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | VA | |
| Physician Assistant | VA | |
| Nurse Practitioner | VA | |
| Nurse Practitioner | NC | |
| - | VA | |
| Nurse Practitioner | VA | |
| Registered Dietitian Or Nutrition Professional | VA | |
| Nurse Practitioner | VA | |
| - | VA | |
| Family Practice | VA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.