Michelle Ebong Jackson-Tucker, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP141208 Issued in TX

Practice address

3525 FM 2484
Salado, TX 76571-6169

Phone

(254) 947-7500

Fax

(254) 947-7521

NPI assigned

Mar 30, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michelle.jackson.tucker.1@8363.direct.athenahealth.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• CH Specialty Services TX PLLC

  • Family Nurse Practitioner
  • Austin, TX
  • NPI 1306225701
  Medicare reassignment NPD
• Curana Health Medical Group LLC

  • Internal Medicine Physician
  • Austin, TX
  • NPI 1255640678
  Medicare reassignment NPD
• Freedom Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Harker Heights, TX
  • NPI 1104153998
  Medicare reassignment NPD
• Providence Health Alliance

  • Specialist
  • Waco, TX
  • NPI 1932210838
  Medicare reassignment NPD
• Seton Family of Doctors

  • Neurological Surgery Physician
  • Austin, TX
  • NPI 1588997233
  Medicare reassignment NPD
• Freedom Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Killeen, TX
  • NPI 1083151377
  NPD
• Providence Health Alliance

  • Rural Health Clinic/Center
  • Waco, TX
  • NPI 1336590462
  NPD
• Seton Family of Doctors

  • Radiology Clinic/Center
  • Austin, TX
  • NPI 1275290694
  NPD
• Seton Family of Doctors

  • Neurological Surgery Physician
  • Kyle, TX
  • NPI 1730412388
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1053872036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658",
            "telephone_number": "254-724-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 FM 2484",
            "city": "SALADO",
            "state": "TX",
            "postal_code": "765716169",
            "telephone_number": "254-947-7500",
            "fax_number": "254-947-7521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4504 Teal Dr",
            "address_purpose": "LOCATION",
            "city": "Killeen",
            "state": "TX",
            "postal_code": "765423704",
            "country_code": "US",
            "telephone_number": "281-777-7144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON-TUCKER",
        "first_name": "MICHELLE",
        "middle_name": "EBONG",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-30",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP141208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley M Hottman, OTD, OTR/L
• Theresa Howard, LPC
• Christie Hurst, APRN FNP
• Ir Rehab PC
• Jennifer Istre, NP
• JD Istre, LLC
• Elizabeth Ann Jenkins, LMFT, PHD
• Coreen Johnson, NP-C
• Denise Keesee
• Aaron Keller

• Family Nurse Practitioner in Salado, TX
• Providers in Salado, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.