Tyra Jackson, FNP-BC - Medicare Nurse Practitioner in Hinsdale, IL

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Tyra Jackson, FNP-BC is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Hinsdale, Illinois. She graduated from medical school in 2025 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Chicagoland Pain Management Institute Inc and her current practice location is 120 N Oak St, Hinsdale, Illinois. You can reach out to her office (for appointments etc.) via phone at (630) 856-6825.

Tyra Jackson is licensed to practice in Illinois (license number 209.033340) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1154284453.

Contact Information

Tyra Jackson, FNP-BC
120 N Oak St,
Hinsdale, IL 60521-3829
(630) 856-6825
Not Available

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Physician's Profile

Full NameTyra Jackson
GenderFemale
SpecialityNurse Practitioner
Experience1 Years
Location120 N Oak St, Hinsdale, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Tyra Jackson graduated from medical school in 2025
  NPI Data:
  • NPI Number: 1154284453
  • Provider Enumeration Date: 12/04/2025
  • Last Update Date: 12/04/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 6406334002
  • Enrollment ID: I20260203003239

Medical Identifiers

Medical identifiers for Tyra Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154284453NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208VP0014XPain Medicine - Interventional Pain Medicine 209.033340 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Adventist Hinsdale HospitalHinsdale, ILHospital
Adventist La Grange Memorial HospitalLa grange, ILHospital
Adventist Bolingbrook HospitalBolingbrook, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Chicagoland Pain Management Institute Inc18505368307

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tyra Jackson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Tyra Jackson, FNP-BC
420 S. Schmidt Rd, Suite 110,
Bolingbrook, IL 60440

Ph: (630) 312-4505		Tyra Jackson, FNP-BC
120 N Oak St,
Hinsdale, IL 60521-3829

Ph: (630) 856-6825

Reviews and Comments


Pain Medicine Doctors in Hinsdale, IL

Dr. Ben Enver Yerlioglu, M.D.
Pain Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 120 N Oak St, Hinsdale, IL 60521
Phone: 123-550-5798    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.