Active NPI 1720442940 Individual Practitioner Male Practitioner

Jackson E. Tillquist , ARNP

Nurse Practitioner • Safety Harbor, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jackson Tillquist, ARNP is a certified Nurse Practitioner practicing in Safety Harbor, FL. With approximately 10 years of clinical experience since completing medical education in 2016, Jackson Tillquist delivers high-quality medical care to the local community at 1840 MEASE DR.

Jackson Tillquist is affiliated with Baycare Medical Group, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, routine ekg using at least 12 leads including interpretation and report. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1840 Mease Dr
Suite 200

Safety Harbor, FL 346956602

Telephone 7277248611

Fax 7277240425

Associated Practice Facility / Clinic

🏢 Advanced Imaging, Llp Facility NPI 1124003702

Medicare Profile & Education

Medical School

Other

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Safety Harbor, FL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

10 Yrs -2.6 yrs vs City Avg

City Avg: 12.6 Yrs

State Avg: 10.0 Yrs

Regional Practice Density

16 Specialists

Practicing in Safety Harbor, FL (8990 Statewide)

Telehealth Adoption Rate

6.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

66.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Tillquist (10 Years) 10 Yrs

Safety Harbor Specialty Average (12.6 Years) 12.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	96	93	$312.00	$105.76
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	17	$440.00	$149.56
93000 Routine ekg using at least 12 leads including interpretation and report	13	13	$35.00	$11.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	108	106	$310.93	$106.39
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	26	26	$439.38	$149.47
93000 Routine ekg using at least 12 leads including interpretation and report	19	19	$35.16	$12.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	123	119	$320.00	$107.51
93000 Routine ekg using at least 12 leads including interpretation and report	33	33	$36.00	$12.08
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	31	30	$454.00	$152.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	49	47	$452.22	$153.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	43	$319.26	$110.25
93000 Routine ekg using at least 12 leads including interpretation and report	36	36	$37.00	$12.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	49	$273.00	$92.36
93000 Routine ekg using at least 12 leads including interpretation and report	15	15	$43.00	$13.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	98	95	$273.00	$90.97
93000 Routine ekg using at least 12 leads including interpretation and report	27	27	$43.00	$14.39
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	15	$366.00	$123.57
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$186.00	$62.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	106	99	$241.00	$89.94
99213 Established patient office or other outpatient visit, typically 15 minutes	22	22	$163.00	$61.35
93000 Routine ekg using at least 12 leads including interpretation and report	22	22	$38.00	$14.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	114	103	$242.00	$89.52
93000 Routine ekg using at least 12 leads including interpretation and report	23	23	$38.00	$14.23

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License FL ARNP9258226

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Registered Nurse - Critical Care Medicine

NUCC Taxonomy Code: 163WC0200X

State License FL 9258226

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

018482900 (FL)

Hospital & Practice Group Affiliations

Baycare Medical Group, Inc.

1840 Mease Dr, Safety Harbor, FL 346956604

Phone: 7277248611

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Dr. Mahesh Amin , MD

Internal Medicine - Cardiovascular Disease

NPI 1013985043

Doctor of Medicine (M.D.)

Dr. Georges Dagher , MD

Internal Medicine - Cardiovascular Disease

NPI 1023234242

Doctor of Medicine (M.D.)

Dr. Dan Sodano , MD

Internal Medicine - Cardiovascular Disease

NPI 1063606101

Doctor of Medicine (M.D.)

Lauren Franklin , APRN

Nurse Practitioner - Family

NPI 1083477129

Advanced Practice Registered Nurse

Cynthia Parker , ARNP

Nurse Practitioner

NPI 1124152822

Advanced Registered Nurse Practitioner

Badria Adamo , ARNP

Nurse Practitioner - Family

NPI 1144989989

Advanced Registered Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active October 14, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location October 14, 2016

Registered at 1840 MEASE DR, SUITE 200, SAFETY HARBOR, FL 346956602 (Tel: 7277248611)

📍

Updated Business Mailing Address October 14, 2016

Registered at PO BOX 10744, CLEARWATER, FL 337578744 (Tel: 7275320002)

👤

Provider Name / Credentials Updated October 14, 2016

Recorded as JACKSON TILLQUIST, ARNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 14, 2016

Registered Nurse (License #9258226 in FL)

🟢

Initial NPI Registration & Enumeration April 13, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Jackson Tillquist. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1720442940

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 13, 2016

Last Update: October 14, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 10744

Clearwater, FL 337578744

Phone: 7275320002

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.