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Active NPI 1114076882 Individual Practitioner Male Practitioner

Robert Alan Jackson , RN, FNP-C

Nurse Practitioner - Family • San Angelo, TX

Professional Overview & Biography Verified Profile Summary

Robert Jackson, RN, FNP-C is a registered healthcare professional specializing in Nurse Practitioner - Family in San Angelo, TX. Practice services are available at 120 E BEAUREGARD AVE under active NPI credentials.

Frequently performed procedures and clinical services include injection, denosumab, 1 mg, established patient outpatient office visit, injection beneath the skin or into muscle for therapy, diagnosis, or prevention. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

120 E Beauregard Ave

San Angelo, TX 769035919

Telephone 3254812247
Fax 3254812307
Associated Practice Facility / Clinic
🏢 Shannon Clinic Facility NPI 1770587149

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Family in San Angelo, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.7 Yrs
State Avg: 8.8 Yrs
Regional Practice Density
93 Specialists

Practicing in San Angelo, TX (21454 Statewide)

Telehealth Adoption Rate
16.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
53.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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
J0897 Injection, denosumab, 1 mg
1,440 14 $33.00 $25.63
99213 Established patient office or other outpatient visit, typically 15 minutes
378 206 $176.00 $77.45
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
28 17 $50.00 $12.31
36415 Insertion of needle into vein for collection of blood sample
11 11 $8.00 $7.84

Medical Specialties & State Licenses

Nurse Practitioner - Family Primary Specialty

NUCC Taxonomy Code: 363LF0000X

State License TX AP112515

Definition to come...

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License TX 655208

Definition to come...

Practice Associates & Co-Workers

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

40 Associated Practitioners
Maegin Carlile , FNP

Nurse Practitioner

NPI 1003168055

Family Nurse Practitioner

Dr. Irvin Zeitler , DO

Family Medicine

NPI 1003856451

Doctor of Osteopathic Medicine (D.O.)

NPI 1003919994

Doctor of Medicine (M.D.)

Dr. Robert Carsner , MD

Internal Medicine

NPI 1013901032

Doctor of Medicine (M.D.)

Dr. Charles Jones , MD

Internal Medicine

NPI 1023002888

Doctor of Medicine (M.D.)

NPI 1023095783

Doctor of Podiatric Medicine

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location June 27, 2019

Registered at 120 E BEAUREGARD AVE, SAN ANGELO, TX 769035919 (Tel: 3254812247)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2300 W MICHIGAN AVE, MIDLAND, TX 797015808 (Tel: 4326826291)

📍
Updated Business Mailing Address July 08, 2007

Registered at 4707 TEAKWOOD TRCE, MIDLAND, TX 797071636 (Tel: 4325221567)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as ROBERT JACKSON, R.N., FNP-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Nurse Practitioner (License #655208 in TX)

🟢
Initial NPI Registration & Enumeration January 10, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114076882
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 10, 2007
Last Update: June 27, 2019
Sole Proprietor: No

Mailing Address

4707 Teakwood Trce

Midland, TX 797071636

Phone: 4325221567

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.