Mrs Shauntorya Jackson, AGNP - Medicare Nurse Practitioner in Flower Mound, TX

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Mrs Shauntorya Jackson, AGNP is a medicare enrolled "Nurse Practitioner - Gerontology" in Flower Mound, Texas. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Advanced Wound Care Of North Texas Pllc, Lthc Solutions Llc and her current practice location is 2281 Olympia Dr, Suite 100, Flower Mound, Texas. You can reach out to her office (for appointments etc.) via phone at (469) 322-0089.

Mrs Shauntorya Jackson is licensed to practice in Texas (license number AP128145) 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 1104296615.

Contact Information

Mrs Shauntorya Jackson, AGNP
2281 Olympia Dr, Suite 100,
Flower Mound, TX 75028-1857
(469) 322-0089
Not Available

Map and Direction




Provider's Profile

Full NameMrs Shauntorya Jackson
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location2281 Olympia Dr, Flower Mound, Texas
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:
  • Mrs Shauntorya Jackson graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1104296615
  • Provider Enumeration Date: 09/28/2015
  • Last Update Date: 07/05/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6800190125
  • Enrollment ID: I20160208000910

Medical Identifiers

Medical identifiers for Mrs Shauntorya Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104296615NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner AP128145 (Texas)Secondary
363LG0600XNurse Practitioner - Gerontology AP128145 (Texas)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Advanced Wound Care Of North Texas Pllc731527659910
Lthc Solutions Llc438594925413

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Shauntorya Jackson allows following entities to bill medicare on her behalf.
Entity NameKunik Health, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750550778
PECOS PAC ID: 2961573696
Enrollment ID: O20080624000146
Entity NameLonestar Hospital Medicine Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518237429
PECOS PAC ID: 6709049703
Enrollment ID: O20120530000620
Entity NameLthc Solutions Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194182543
PECOS PAC ID: 4385949254
Enrollment ID: O20160302000207
Entity NameInterventional Partners Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750814737
PECOS PAC ID: 6800173204
Enrollment ID: O20170512002018
Entity NameAdvanced Wound Care Of North Texas Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366908600
PECOS PAC ID: 7315276599
Enrollment ID: O20190913000101
Entity NameLong Term Health Careline Corp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588378830
PECOS PAC ID: 2264882950
Enrollment ID: O20231220003925

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. Mrs Shauntorya 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
Mrs Shauntorya Jackson, AGNP
2281 Olympia Dr, Suite 100,
Flower Mound, TX 75028-1857

Ph: () -		Mrs Shauntorya Jackson, AGNP
2281 Olympia Dr, Suite 100,
Flower Mound, TX 75028-1857

Ph: (469) 322-0089

Reviews and Comments


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Laila Nooruddin, A.P.N.
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Phone: 972-691-3777    Fax: 972-691-3666

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.