Doctor profile · Federal record

Dr. Tiffany Jackson, APRN, AGNP-C

Primary Care Nurse Practitioner · Fayetteville, AR

  • NPI 1114385374
  • 10 yrs on file
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
12 E Appleby RD, Suite 101
Fayetteville, AR 727033901
(479) 463-4444
fax (479) 463-4499

Credentials & registration

NPPES · NUCC
NPI registered
February 2016 — 10 yrs on file
Profile last updated
August 5, 2016
Specialty taxonomy
363LP2300X — NUCC code
State license (1)
Arkansas #A004646

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1114385374. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
50
Distinct HCPCS
3
Medicare allowed
$3,395
HCPCS Description Services Patients Avg allowed
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 22 22 $40
99214 Established patient office or other outpatient visit, 30-39 minutes 16 15 $94
99213 Established patient office or other outpatient visit, 20-29 minutes 12 11 $84

In context: peer comparison

Among 1 peers in Fayetteville Primary Care Nurse Practitioner, average services per provider: 16. This provider delivers 3.1× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
169
Patients
11
Total drug cost
$11,662
Drug Type Claims Patients Total cost
Amlodipine Besylate Generic 30 11 $532
Levothyroxine Sodium Generic 27 0 $370
Escitalopram Oxalate Generic 19 0 $141
Gabapentin Generic 19 0 $333
Atorvastatin Calcium Generic 14 0 $266
Losartan Potassium Generic 13 0 $143
Omeprazole Generic 13 0 $130
Metoprolol Tartrate Generic 12 0 $55
Januvia (Sitagliptin Phosphate) Brand 11 0 $9,686
Olmesartan Medoxomil Generic 11 0 $6

Frequently asked questions

Auto-generated from federal data
What is Dr. Tiffany Jackson's medical specialty?
Dr. Tiffany Jackson practices Primary Care Nurse Practitioner in Fayetteville, AR.
Where does Dr. Tiffany Jackson practice?
Dr. Tiffany Jackson practices at 12 E Appleby RD, Fayetteville, AR 727033901. Office phone: 4794634444.
What is Dr. Tiffany Jackson's NPI?
Dr. Tiffany Jackson's National Provider Identifier (NPI) is 1114385374, issued by NPPES.
What procedures does Dr. Tiffany Jackson commonly perform?
Top Medicare-reported procedures in 2023: Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS G0439); Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.