Debra Lynn Jackley, AGACNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

137103 Issued in AZ

Practice address

2404 E River Rd Ste 251
Tucson, AZ 85718-6523

Phone

(520) 838-3540

Fax

(520) 325-3526

NPI assigned

Sep 9, 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 AZ

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, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pima Heart Physicians PCGroup PAC ID 6507751294, shared by 2 NPIs, 65 clinicians

TMC Medical NetworkGroup PAC ID 9638457013, 276 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tucson Medical Center Hospital, Tucson, AZ, CCN 030006

Merit-based Incentive Payment System (MIPS)

Final score

90.17 of 100Reported as group

Quality

83.77

Promoting interoperability

97

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: debra.jackley@ushv.eclinicaldirectplus.com

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.

• TMC Medical Network

  • Multi-Specialty Clinic/Center
  • Tucson, AZ
  • NPI 1750832283
  Medicare reassignment Care Compare group NPD
• Cogent Healthcare of Arizona PC

  • Internal Medicine Physician
  • Sierra Vista, AZ
  • NPI 1568758266
  Medicare reassignment NPD
• Pima Heart Physicians, PC

  • Cardiovascular Disease Physician
  • Tucson, AZ
  • NPI 1730137480
  Medicare reassignment NPD
• Pima Heart Physicians, PC

  • Cardiac Rehabilitation Registered Nurse
  • Sahuarita, AZ
  • NPI 1962259812
  Medicare reassignment NPD
• Sound Physicians Emergency Medicine of Arizona, Inc.

  • Emergency Medicine Physician
  • Sierra Vista, AZ
  • NPI 1700328663
  Medicare reassignment NPD
• American Physicians, Inc.

  • Hospitalist Physician
  • Phoenix, AZ
  • NPI 1609869908
  NPD
• American Physicians, Inc

  • Hospitalist Physician
  • Dover Foxcroft, ME
  • NPI 1881090934
  NPD
• App of Southern Arizona HM LLC

  • Hospitalist Physician
  • Brentwood, TN
  • NPI 1518542679
  NPD
• Pima Heart Physicians, PC

  • Cardiovascular Disease Physician
  • Sierra Vista, AZ
  • NPI 1003081803
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Tucson Medical Center

  • General Acute Care Hospital
  • Tucson, AZ
  • NPI 1174512792
  Care Compare affiliation

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

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1104475482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 E RIVER RD STE 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857045843",
            "telephone_number": "520-838-3540",
            "fax_number": "520-325-3526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 E RIVER RD STE 251",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857186523",
            "telephone_number": "520-838-3540",
            "fax_number": "520-325-3526"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 N Wilmot Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857112602",
            "country_code": "US",
            "telephone_number": "520-873-3077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKLEY",
        "first_name": "DEBRA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "AGACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-09",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "137103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jabi Transportation LLC
• Karen Gail Jablo, L.M.T.
• Mireille Jabroun, MD
• John Stanley Jachna, MD
• Martin Roberto Jacinto Jr., RRT
• Margaret A Jackman, NP
• Rebekah Michelle Jackowski, PHARMD
• Rita Jackson-Mullen, LPC
• Brianna Jackson
• C'NE Angelique Jackson

• Acute Care Nurse Practitioner in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Acute Care Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; 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.