KIMCHEREE JACKSON
NPI 1083093355
Nurse Practitioner in Sanford, FL
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 and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kimcheree Jackson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
6Medicare enrollment records show Kimcheree Jackson reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Altamonte Springs, FL 32701
- Reassigned Medicare billing, Florida enrollment
- 163 clinicians in this Medicare group
Starke, FL 32091
- Reassigned Medicare billing, Florida enrollment
- 60 clinicians in this Medicare group
Hoover, AL 35216
- Reassigned Medicare billing, Florida enrollment
- 157 clinicians in this Medicare group
Nashville, TN 37209
- Reassigned Medicare billing, Florida enrollment
- 46 clinicians in this Medicare group
Nashville, TN 37209
- Reassigned Medicare billing, Florida enrollment
- 51 clinicians in this Medicare group
Nashville, TN 37209
- Reassigned Medicare billing, Florida enrollment
- 51 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
SANFORD, FL 32771
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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Kimcheree Jackson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimcheree Jackson reassigns Medicare benefits to 6 organizations: Pascarella Hoover Finkelstein & Wagner DPM PA (Altamonte Springs, FL), Starke Family Medical Center Inc (Starke, FL), Upperline Healthcare, PC (Hoover, AL), Apex Wellness Inc (Nashville, TN), Adcs Care Management 1 Inc (Nashville, TN) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimcheree Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Kimcheree Jackson · NPI 1083093355
Nurse Practitioner physician in Sanford, Florida. Individual provider, active in the CMS NPPES registry since May 20, 2015.
## Identity
- **NPI:** 1083093355 (Entity type: Individual)
- **Enumerated:** May 20, 2015
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** ARNP9250679 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 4930 E LAKE MARY BLVD, Sanford, FL 32771-5003
- **Phone:** (407) 322-8645
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Pascarella Hoover Finkelstein & Wagner DPM PA (NPI 1740275635, Altamonte Springs, FL); Starke Family Medical Center Inc (NPI 1487727038, Starke, FL); Upperline Healthcare, PC (NPI 1538686498, Hoover, AL); Apex Wellness Inc (NPI 1386527976, Nashville, TN); Adcs Care Management 1 Inc (NPI 1609759653, Nashville, TN); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** April 30, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1083093355) · Data from the CMS NPPES public registry.