JENNIFER MELISSA JACKSON APRN
NPI 1104603364
Nurse Practitioner - Family in Port Saint Lucie, FL

Q: What is Jennifer Jackson's NPI number?

The NPI number for Jennifer Jackson is 1104603364. It was assigned to this individual provider in the NPPES registry on September 12, 2023. The provider is also known as Jennifer Duran.

Q: What is Jennifer Jackson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jennifer Jackson was last updated on February 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since September 12, 2023PECOS Enrolled

1850 SW FOUNTAINVIEW BLVD STE 105, PORT SAINT LUCIE, FL 34986(772) 336-2818(772) 336-5313 Get Directions Write a Review

NPPES record last updated: February 16, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jennifer Melissa Jackson Aprn NPPES

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

JENNIFER MELISSA JACKSON APRN (NPI 1104603364) is an individual family provider in Port Saint Lucie, Florida, licensed in Florida (APRN11028311) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1104603364

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJENNIFER MELISSA JACKSONCredential: APRN

Location Address1850 SW FOUNTAINVIEW BLVD STE 105Port Saint Lucie, FL 34986-4527

Mailing Address900 S Pine Island Rd Ste 800Plantation, FL 33324-3923 · (772) 336-2818 · Fax (772) 336-5313

Phone(772) 336-2818

Fax(772) 336-5313

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateSeptember 12, 2023

Last NPPES UpdateFebruary 16, 2026

NPPES CertifiedFebruary 16, 2026

✔ NPI 1104603364 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 · APRN11028311

Also ListedNurse PractitionerTaxonomy 363L00000X · License 95038498 (CA)

1850 SW FOUNTAINVIEW BLVD STE 105, Port Saint Lucie, FL 34986

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Other Names 1

Former Name (1)Jennifer Duran

Secondary Practice Locations 2

Location 124422 Avenida De La Carlota Ste 300Laguna Hills, CA 92653-3628 · Phone (949) 599-2434

Location 2650 Howe Ave Ste 100Sacramento, CA 95825-4732 · Phone (916) 924-9337

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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)

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

PECOS PAC ID5799276317

PECOS Enrollment IDI20251112000704

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 34986 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.

Other Providers at the Same Location NPPES 12

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

ANNE-MARIA HOFMANN DOUGLAS APRN

Nurse Practitioner (Pediatrics)

1850 SW FOUNTAINVIEW BLVD STE 105
PORT ST LUCIE, FL 34986

St. Lucie County (772) 336-2818

CARLY CAVINESS

Nurse Practitioner (Family)

1850 SW FOUNTAINVIEW BLVD STE 105
PORT SAINT LUCIE, FL 34986

St. Lucie County (772) 336-2818

LEE FREDERICK TOSI MD

Pediatrics

1850 SW FOUNTAINVIEW BLVD STE 105
PORT SAINT LUCIE, FL 34986

St. Lucie County (772) 336-2818

MARIA GAVIRIA-TOBON MD

Pediatrics

1850 SW FOUNTAINVIEW BLVD STE 105
PORT ST LUCIE, FL 34986

St. Lucie County (772) 336-2818

BRIAN SKIRVIN-LECLAIR APRN, DNP

Nurse Practitioner (Pediatrics)

1850 SW FOUNTAINVIEW BLVD STE 105
PORT SAINT LUCIE, FL 34986

St. Lucie County (772) 336-2818

KATRINA NOEL BRAGAN PA

Physician Assistant

1850 SW FOUNTAINVIEW BLVD STE 105
PORT SAINT LUCIE, FL 34986

St. Lucie County (772) 336-2818

KATHERINE QUINONES D.O.

Pediatrics

1850 SW FOUNTAINVIEW BLVD STE 105
PORT ST LUCIE, FL 34986

St. Lucie County (772) 336-2818

KARYL YARDENA BENTAL D.O.

Pediatrics

1850 SW FOUNTAINVIEW BLVD STE 105
PORT SAINT LUCIE, FL 34986

St. Lucie County (772) 336-2818

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 Jennifer Jackson's NPI number?

The NPI number for Jennifer Jackson is 1104603364. It was assigned to this individual provider in the NPPES registry on September 12, 2023. The provider is also known as Jennifer Duran.

Where is Jennifer Jackson located?

Jennifer Jackson practices at 1850 SW Fountainview Blvd Ste 105, Port Saint Lucie, FL 34986. The listed phone number is (772) 336-2818.

What is Jennifer Jackson's specialty?

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

Is Jennifer Jackson enrolled in Medicare?

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

What insurance does Jennifer Jackson accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and AvMed and 1 other insurer list Jennifer 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 Jennifer Jackson was last updated on February 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.