Tiffany Michelle Jackson, FNP-C - Medicare Nurse Practitioner in Laurel Fork, VA

Tiffany Michelle Jackson, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Laurel Fork, Virginia. She graduated from nursing school in 2019 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Tri Area Community Health and her current practice location is 14558 Danville Pike, Laurel Fork, Virginia. You can reach out to her office (for appointments etc.) via phone at (276) 398-2292.

Tiffany Michelle Jackson is licensed to practice in Virginia (license number 0024178133) 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 1073161642.

Contact Information

Tiffany Michelle Jackson, FNP-C
14558 Danville Pike,
Laurel Fork, VA 24352-3982
(276) 398-2292
(276) 398-3331

Map and Direction




Provider's Profile

Full NameTiffany Michelle Jackson
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location14558 Danville Pike, Laurel Fork, Virginia
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:
  • Tiffany Michelle Jackson graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1073161642
  • Provider Enumeration Date: 08/27/2019
  • Last Update Date: 09/30/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 8123438777
  • Enrollment ID: I20210111001756

Medical Identifiers

Medical identifiers for Tiffany Michelle Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073161642NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 0001197595 (Virginia)Secondary
363LF0000XNurse Practitioner - Family 0024178133 (Virginia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Tri Area Community Health620474829635

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. Tiffany Michelle 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
Tiffany Michelle Jackson, FNP-C
Po Box 9,
Laurel Fork, VA 24352-0009

Ph: (276) 398-1200
Tiffany Michelle Jackson, FNP-C
14558 Danville Pike,
Laurel Fork, VA 24352-3982

Ph: (276) 398-2292

Reviews and Comments


Nurse Practitioner Nurses in Laurel Fork, VA

Mr. Walter Curtis Hodges Jr., DNP, FNP-C,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 14558 Danville Pike, Laurel Fork, VA 24352
Phone: 276-398-2292    Fax: 276-398-3331
Jacqueline L Webb, PNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 14558 Danville Pike, Laurel Fork, VA 24352
Phone: 276-398-2292    Fax: 273-398-3331
Dinah P Perdue, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 14558 Danville Pike, Laurel Fork, VA 24352
Phone: 276-398-2292    Fax: 276-398-3331
Laurie Klimczyk, AGNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 693 Oakwood Rd, Laurel Fork, VA 24352
Phone: 276-966-0711    Fax: 276-966-0711

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.