Active NPI 1538619655 Individual Practitioner Female Practitioner

Toni Jackson , FNP

Nurse Practitioner - Primary Care • Spring, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Toni Jackson, FNP is a certified Nurse Practitioner - Primary Care practicing in Spring, TX. With approximately 10 years of clinical experience since completing medical education in 2016, Toni Jackson delivers high-quality medical care to the local community at 1423 HIGH THICKET CT.

Toni Jackson is affiliated with Tmc Provider Group Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include residence visit for established patient with moderate level of medical decision making, per day, if using time, at least, residence visit for established patient with high level of medical decision making, per day, if using time, at least, blood test, comprehensive group of blood chemicals. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1423 High Thicket Ct

Spring, TX 773737853

Telephone 8323817673

Associated Practice Facility / Clinic

🏢 Topcare Medical Group Inc Facility NPI 1730337163

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 - Primary Care in Spring, TX

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

10 Yrs -1.0 yrs vs City Avg

City Avg: 11.0 Yrs

State Avg: 7.1 Yrs

Regional Practice Density

9 Specialists

Practicing in Spring, TX (828 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

60.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jackson (10 Years) 10 Yrs

Spring Specialty Average (11.0 Years) 11.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	82	37	$283.00	$108.41
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	24	21	$390.00	$159.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	115	54	$283.00	$110.17
80053 Blood test, comprehensive group of blood chemicals	24	22	$31.00	$10.42
96127 Assessment of emotional or behavioral problems	22	13	$12.00	$4.79
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	19	17	$390.00	$152.54
83036 Hemoglobin A1C level	14	13	$25.00	$9.57
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	13	12	$20.00	$7.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	87	50	$283.00	$112.13
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	38	38	$85.00	$51.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$174.11	$99.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$185.00	$147.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$201.07	$114.38
99213 Established patient office or other outpatient visit, typically 15 minutes	15	15	$131.00	$80.61
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	11	11	$298.00	$115.93
90662 Influenza vaccine split virus, preservative free	11	11	$122.00	$65.26
G0008 Administration of influenza virus vaccine	11	11	$50.00	$17.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$172.88	$94.66
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	17	16	$85.00	$51.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$187.88	$95.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	316	32	$0.53	$0.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	200	161	$232.01	$93.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	60	60	$356.90	$140.27
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	44	40	$57.84	$14.19
87804 Detection test by immunoassay with direct visual observation for influenza virus	36	18	$38.74	$16.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$245.14	$92.99
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	17	16	$38.16	$16.18
81003 Automated urinalysis test	15	15	$3.08	$2.44
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$173.00	$65.67
81002 Urinalysis, manual test	12	12	$11.00	$3.41
71046 X-ray of chest, 2 views	11	11	$68.88	$27.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	203	24	$0.05	$0.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	103	98	$217.30	$91.28
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	35	35	$41.76	$17.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$334.80	$140.29

Medical Specialties & State Licenses

CMS Verified: 2026-04-29

Nurse Practitioner - Primary Care Primary Specialty

NUCC Taxonomy Code: 363LP2300X

State License TX AP132143

Definition to come...

Nurse Practitioner - Primary Care

NUCC Taxonomy Code: 363LP2300X

State License AL 3-002946

Definition to come...

Nurse Practitioner - Primary Care

NUCC Taxonomy Code: 363LP2300X

State License MO 2026012816

Definition to come...

Hospital & Practice Group Affiliations

Tmc Provider Group Pllc

17002 Gleneagle Dr S, Conroe, TX 773854614

Phone: 8324477123

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Business Mailing Address April 09, 2026

Registered at 12377 MERIT DR STE 300, DALLAS, TX 752513126 (Tel: 8323817673)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 09, 2026

Nurse Practitioner (License #3-002946 in AL)

✅

NPI Profile Active October 12, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location October 12, 2016

Registered at 1423 HIGH THICKET CT, SPRING, TX 773737853 (Tel: 8323817673)

📍

Updated Business Mailing Address October 12, 2016

Registered at 1423 HIGH THICKET CT, SPRING, TX 773737853 (Tel: 8323817673)

👤

Provider Name / Credentials Updated October 12, 2016

Recorded as TONI JACKSON, FNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 12, 2016

Nurse Practitioner (License #AP132143 in TX)

🟢

Initial NPI Registration & Enumeration October 12, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1538619655

Entity Type:

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

Enumeration Date: October 12, 2016

Last Update: April 29, 2026

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

12377 Merit Dr Ste 300

Dallas, TX 752513126

Phone: 8323817673

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.