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Active NPI 1114531217 Individual Practitioner Female Practitioner

Donna Lachelle Jackson

Nurse Practitioner • Tyler, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Donna Jackson is a certified Nurse Practitioner practicing in Tyler, TX. With approximately 8 years of clinical experience since completing medical education in 2018, Donna Jackson delivers high-quality medical care to the local community at 2990 N BROADWAY AVE.

Donna Jackson is affiliated with Christus Trinity Clinic and accepts Medicare assignment.

Frequently performed procedures and clinical services include visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2990 N Broadway Ave

Tyler, TX 757022149

Telephone 9035359041
Associated Practice Facility / Clinic
🏢 Mother Frances Hospital Facility NPI 1780717439

Medicare Profile & Education

Medical School

Other

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Tyler, TX

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
8 Yrs -1.7 yrs vs City Avg
City Avg: 9.7 Yrs
State Avg: 9.7 Yrs
Regional Practice Density
148 Specialists

Practicing in Tyler, TX (4894 Statewide)

Telehealth Adoption Rate
11.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
71.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jackson (8 Years) 8 Yrs
Tyler Specialty Average (9.7 Years) 9.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
165 147 $24.00 $13.40
99213 Established patient office or other outpatient visit, typically 15 minutes
160 143 $204.00 $53.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
140 122 $289.00 $78.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
14 14 $375.00 $108.39

Medical Specialties & State Licenses

CMS Verified: 2024-03-27
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License TX 1032219

(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 - Continuing Education/Staff Development

NUCC Taxonomy Code: 163WC1600X

State License TX 676887

Definition to come...

Hospital & Practice Group Affiliations

Christus Trinity Clinic

Po Box, Dallas, TX 752846098

Christus Trinity Clinic

5321 S Fm, Holly Lake Ranch, TX 757654839

Phone: 9037692990

Christus Trinity Clinic

3203 S Main St, Lindale, TX 757717727

Phone: 9032664000

Christus Trinity Clinic

630 S Fleishel Ave, Tyler, TX 757012041

Phone: 9036065560

Christus Trinity Clinic

650 E Lennon Dr, Emory, TX 754403227

Phone: 9034737234

Christus Trinity Clinic

620 S Fleishel Ave, Tyler, TX 757012041

Phone: 9036064900

Christus Trinity Clinic

1302 N Pacific St, Mineola, TX 757731022

Phone: 9035695383

Secondary Practice Locations

3203 S Main St

Lindale, TX 757717727

Phone: 9032664000

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Joshua Morgan , MD

Family Medicine

NPI 1003304452

Doctor of Medicine (M.D.)

Amanda Walsh , APRN

Nurse Practitioner - Pediatrics

NPI 1003517244

Advanced Practice Registered Nurse

NPI 1043206147

Doctor of Medicine (M.D.)

Linda Isabell , RN, BSN, MBA

Registered Nurse - Case Management

NPI 1073688180

Registered Nurse, Bachelor of Science in Nursing, Master of Business Administration

NPI 1114307790

Doctor of Osteopathic Medicine (D.O.)

Deborah Ledesma , FNP-C

Nurse Practitioner - Family

NPI 1114625670

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Business Mailing Address October 05, 2022

Registered at 523 S FANNIN AVE, TYLER, TX 757028204 (Tel: 9035359041)

📍
Updated Practice Location January 19, 2022

Registered at 2990 N BROADWAY AVE, TYLER, TX 757022149 (Tel: 9035359041)

📍
Updated Practice Location May 21, 2021

Registered at 820 E FRONT ST, TYLER, TX 757028326 (Tel: 9035960602)

NPI Profile Active September 04, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location September 04, 2020

Registered at 2946 MEADOW BROOK TRL, TYLER, TX 757015101 (Tel: 9037204902)

📍
Updated Business Mailing Address September 04, 2020

Registered at 2946 MEADOW BROOK TRL, TYLER, TX 757015101

👤
Provider Name / Credentials Updated September 04, 2020

Recorded as DONNA JACKSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 04, 2020

Registered Nurse (License #676887 in TX)

🟢
Initial NPI Registration & Enumeration September 04, 2020

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: 1114531217
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 04, 2020
Last Update: March 27, 2024
Sole Proprietor: No

Mailing Address

523 S Fannin Ave

Tyler, TX 757028204

Phone: 9035359041

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.