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GRACIE LATRICE JENKINS
NPI 1023967973
Nurse Practitioner - Family in Kissimmee, FL

Active since January 23, 2026PECOS Enrolled
3605 LIGHT PORT WAY, KISSIMMEE, FL 34746(689) 239-9633 Get Directions Write a Review

NPPES record last updated: May 22, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 22, 2026, Jan 23, 2026 (2 updates tracked since 2026).

About Gracie Latrice Jenkins NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRACIE LATRICE JENKINS (NPI 1023967973) is an individual family provider in Kissimmee, Florida, licensed in Florida (APRN11045076) and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1023967973
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameGRACIE LATRICE JENKINS
Location Address3605 LIGHT PORT WAYKissimmee, FL 34746-1842
Mailing Address3605 Light Port WayKissimmee, FL 34746-1842
Phone(689) 239-9633
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJanuary 23, 2026
Last NPPES UpdateMay 22, 20262 updates tracked since enumeration
NPPES CertifiedMay 22, 2026
✔ NPI 1023967973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · APRN11045076
Also ListedFamily MedicineTaxonomy 207Q00000X · License APRN11045076 (FL)
3605 LIGHT PORT WAY, Kissimmee, FL 34746
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gracie Latrice Jenkins is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5799255899
PECOS Enrollment IDI20260529002667
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34746 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gracie Jenkins's NPI number?

The NPI number for Gracie Jenkins is 1023967973. It was assigned to this individual provider in the NPPES registry on January 23, 2026.

Where is Gracie Jenkins located?

Gracie Jenkins practices at 3605 Light Port Way, Kissimmee, FL 34746. The listed phone number is (689) 239-9633.

What is Gracie Jenkins's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Gracie Jenkins enrolled in Medicare?

Yes. Gracie Jenkins is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gracie Jenkins was last updated on May 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.