Robert Alan Jackson, R.N., FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP112515 Issued in TX

Practice address

120 E Beauregard Ave
San Angelo, TX 76903-5919

Phone

(325) 481-2247

Fax

(325) 481-2307

NPI assigned

Jan 10, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

82.63 of 100Reported as group

Quality

78.21

Promoting interoperability

96

Improvement activities

40

Cost

67.22

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

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.

• Department of State Health Services

  • Clinic/Center
  • San Antonio, TX
  • NPI 1316000144
  NPD (past)
• Health and Human Services Commission

  • Psychologist
  • Big Spring, TX
  • NPI 1437262326
  NPD (past)
• Joseph Oei MD PA

  • Pain Medicine (Anesthesiology) Physician
  • Midland, TX
  • NPI 1093812372
  NPD (past)

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1114076882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4707 TEAKWOOD TRCE",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797071636",
            "telephone_number": "432-522-1567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E BEAUREGARD AVE",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769035919",
            "telephone_number": "325-481-2247",
            "fax_number": "325-481-2307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "ROBERT",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "R.N., FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "655208",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP112515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J David Vance DDS PA Kristin L Goodwin DDS PA LLP
• Ja Medical Services, PA
• Sara Jackson-Vance, M.D.
• Karen D Jackson, CNS
• Rachel Renee Jackson
• Waylan Efton Jackson
• Jordan Leigh Jamerson, M.D.
• James C Womack MD PA
• Heewon Jang
• Alyssa Nicole Janousek, APRN, FNP-C

• Family Nurse Practitioner in San Angelo, TX
• Providers in San Angelo, 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 Jun 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.