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KIMCHEREE JACKSON
NPI 1083093355
Nurse Practitioner in Sanford, FL

Active since May 20, 2015PECOS Enrolled
4930 E LAKE MARY BLVD, SANFORD, FL 32771(407) 322-8645 Get Directions Write a Review

NPPES record last updated: April 30, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kimcheree Jackson NPPES

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

KIMCHEREE JACKSON (NPI 1083093355) is an individual nurse practitioner in Sanford, Florida, licensed in Florida (ARNP9250679) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083093355
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKIMCHEREE JACKSON
Location Address4930 E LAKE MARY BLVDSanford, FL 32771-5003
Mailing Address4930 E Lake Mary BlvdSanford, FL 32771-5003 · (407) 322-8645
Phone(407) 322-8645
Sole ProprietorNo
Enumeration DateMay 20, 2015
Last NPPES UpdateApril 30, 2020
NPPES CertifiedApril 30, 2020
✔ NPI 1083093355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in FL · ARNP9250679
Definition
(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.
4930 E LAKE MARY BLVD, Sanford, FL 32771
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimcheree Jackson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 32771 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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CENTRAL FLORIDA FAMILY HEALTH CENTER
Clinic/Center (Community Health)
4930 E LAKE MARY BLVD
SANFORD, FL 32771
Seminole County (407) 322-8645
CHIVAS OWLE
Pharmacist
4930 E LAKE MARY BLVD
SANFORD, FL 32771
Seminole County (407) 322-8653
DR. WILLIAM RODRIGO VIVAS DPM
Podiatrist (Foot Surgery)
4930 E LAKE MARY BLVD
SANFORD, FL 32771
Seminole County (407) 322-8645
SIMONE HARRIS APRN
Nurse Practitioner (Family)
4930 E LAKE MARY BLVD
SANFORD, FL 32771
Seminole County (407) 322-8645
DR. DANIEL R BIEDA DO
Family Medicine
4930 E LAKE MARY BLVD
SANFORD, FL 32771
Seminole County (407) 322-8645
LAUREN CLARK BARNHART APRN
Nurse Practitioner (Pediatrics)
4930 E LAKE MARY BLVD
SANFORD, FL 32771
Seminole County (407) 322-8645
MARCELL BAILEY APRN
Nurse Practitioner (Family)
4930 E LAKE MARY BLVD
SANFORD, FL 32771
Seminole County (407) 322-8645
DAISY RENTERIA PA
Physician Assistant
4930 E LAKE MARY BLVD
SANFORD, FL 32771
Seminole County (407) 322-8645

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 Kimcheree Jackson's NPI number?

The NPI number for Kimcheree Jackson is 1083093355. It was assigned to this individual provider in the NPPES registry on May 20, 2015.

Where is Kimcheree Jackson located?

Kimcheree Jackson practices at 4930 E Lake Mary Blvd, Sanford, FL 32771. The listed phone number is (407) 322-8645.

What is Kimcheree Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kimcheree Jackson enrolled in Medicare?

Yes. Kimcheree Jackson is registered in the Medicare PECOS enrollment system.

What insurance does Kimcheree Jackson accept?

Health plans from AvMed list Kimcheree Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kimcheree Jackson was last updated on April 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.