Tyra Jackson, FNP-BC
Tyra Jackson, FNP-BC is an Interventional Pain Medicine Physician in Hinsdale, IL, registered under NPI 1154284453.
Getting there
The practice address on file is 120 N OAK ST, Hinsdale, IL 60521. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 209.033340 | IL | Interventional Pain Medicine Physician primary |
This provider holds licence 209.033340 issued in IL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Nurse Practitioner
- PAC ID
- 6406334002
- Enrollment ID
- I20260203003239
Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Interventional Pain Medicine covers
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. NUCC Health Care Provider Taxonomy, code 208VP0014X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1154284453 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Dec 4, 2025 |
| Last updated | Dec 4, 2025 |
| Status | Active |
| Sole proprietor | No |
| Gender | Female |
| Credential | FNP-BC |
| Practice address |
120 N OAK ST Hinsdale, IL 60521 (630) 856-6825 |
| Mailing address |
420 S. SCHMIDT RD, SUITE 110 Bolingbrook, IL 60440 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 5 | 4 | 2 | 8 | 4 | 4 | 5 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 1 | 4 | 4 | 8 | 8 | 4 | 1 |
Sum = 57 · next multiple of 10 = 60 · check digit = 3 · actual last digit = 3
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.