Jackson Tea, MSN, PMHNP-BC
NPI 1477365997 · Psychiatric/Mental Health Nurse Practitioner · Anaheim, CA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jackson Tea, MSN, PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner provider in Anaheim, CA (NPI 1477365997).
Provider details
- NPI number
- 1477365997
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- MSN, PMHNP-BC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 95033550 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
1 yr in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
3 documented practice locations
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
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.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$146 across 16 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (2)
- 421 N Brookhurst St Ste 119Anaheim, CA 92801-5618Phone: (714) 361-0898Fax: (714) 276-2604
- 354 Uluniu St Ste 404Kailua, HI 96734-2534Phone: (808) 215-3652Fax: (808) 481-5503
Registry dates
- Enumerated
- 2025-01-22
- Last updated
- 2025-04-15
- Certified
- 2025-04-15
Frequently asked questions
- What is Jackson Tea's NPI number?
- Jackson Tea's National Provider Identifier (NPI) is 1477365997, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jackson Tea's specialty?
- Jackson Tea is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jackson Tea located?
- Jackson Tea's practice location on file with NPPES is 1720 W Ball Rd Ste 4c, Anaheim, CA 92804-5591.
- What is Jackson Tea's phone number?
- The practice phone number listed in the NPPES registry for Jackson Tea is (714) 683-1472.
- Does Jackson Tea accept Medicare?
- Jackson Tea is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jackson Tea's NPI active?
- Yes — Jackson Tea's NPI (1477365997) is active in the NPPES registry as of the last update on 2025-04-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.