Donna Jackson
NPI 1114531217 · Nurse Practitioner · Tyler, TX
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Donna Jackson is a Nurse Practitioner provider in Tyler, TX (NPI 1114531217).
Provider details
- NPI number
- 1114531217
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 676887 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
5 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
479 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 165 | $13 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 160 | $54 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 140 | $79 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 14 | $108 |
Typical Medicare-allowed amounts for these services range $13–$108 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 31 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Amlodipine Besylate | 76 | 38 |
| Fluticasone Propionate | 66 | 55 |
| Atorvastatin Calcium | 63 | 26 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 57 | 51 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 43 | 42 |
| Tizanidine Hcl | 41 | 26 |
| Prednisone |
Practice location
Mailing address
Additional practice locations (1)
- 3203 S Main StLindale, TX 75771-7727Phone: (903) 266-4000
Registry dates
- Enumerated
- 2020-09-04
- Last updated
- 2024-03-27
- Certified
- 2024-03-27
Frequently asked questions
- What is Donna Jackson's NPI number?
- Donna Jackson's National Provider Identifier (NPI) is 1114531217, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Donna Jackson's specialty?
- Donna Jackson is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Donna Jackson located?
- Donna Jackson's practice location on file with NPPES is 2990 N Broadway Ave, Tyler, TX 75702-2149.
- What is Donna Jackson's phone number?
- The practice phone number listed in the NPPES registry for Donna Jackson is (903) 535-9041.
- Does Donna Jackson accept Medicare?
- Donna Jackson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Donna Jackson's NPI active?
- Yes — Donna Jackson's NPI (1114531217) is active in the NPPES registry as of the last update on 2024-03-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.