RENUKA JACKSON
NPI 1093330714
Nurse Practitioner in Fort Myers, FL

Active since June 09, 2020PECOS EnrolledAccepts Medicare Assignment
6150 DIAMOND CENTRE CT UNIT 100, FORT MYERS, FL 33912(239) 561-9191 Get Directions Write a Review

NPPES record last updated: June 9, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Renuka Jackson NPPES

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

RENUKA JACKSON (NPI 1093330714) is an individual nurse practitioner in Fort Myers, Florida, licensed in Florida (11007300) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, is affiliated with Cape Coral Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1093330714
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameRENUKA JACKSON
Location Address6150 DIAMOND CENTRE CT UNIT 100Fort Myers, FL 33912-4367
Mailing Address6150 Diamond Centre Ct Unit 100Fort Myers, FL 33912-4367 · (239) 561-9191
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 9, 2020
NPPES CertifiedJune 9, 2020
NPI 1093330714 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 · 11007300
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.
6150 DIAMOND CENTRE CT UNIT 100, Fort Myers, FL 33912

Other Names 1

Professional Name (2)Renuka Punwasi Aprn

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Renuka 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.

PECOS PAC ID3779908256
PECOS Enrollment IDI20200730002503
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
55 services36 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
44 services40 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
31 services31 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
25 services25 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cape Coral Hospital

Acute Care Hospitals · Cape Coral, FL
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100244
Location636 Del Prado BlvdCape Coral, FL 33990 · Lee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33912 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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 Renuka Jackson's NPI number?

The NPI number for Renuka Jackson is 1093330714. It was assigned to this individual provider in the NPPES registry on June 9, 2020. The provider is also known as Renuka Punwasi Aprn.

Where is Renuka Jackson located?

Renuka Jackson practices at 6150 Diamond Centre Ct Unit 100, Fort Myers, FL 33912. The listed phone number is (239) 561-9191.

What is Renuka Jackson's specialty?

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

Is Renuka Jackson enrolled in Medicare?

Yes. Renuka 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.

What insurance does Renuka Jackson accept?

Health plans from UnitedHealthcare list Renuka 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.

Is Renuka Jackson affiliated with any hospitals?

According to CMS data, Renuka Jackson is affiliated with Cape Coral Hospital.

When was this NPI record last updated?

The NPPES record for Renuka Jackson was last updated on June 9, 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.