MIRANDA LOREN JACKSON DNP
NPI 1104609619
Nurse Practitioner in Pensacola, FL

Q: What is Miranda Jackson's NPI number?

The NPI number for Miranda Jackson is 1104609619. It was assigned to this individual provider in the NPPES registry on August 17, 2023.

Q: What is Miranda Jackson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Miranda Jackson was last updated on February 25, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 17, 2023PECOS EnrolledAccepts Medicare Assignment

9400 UNIVERSITY PKWY STE 210, PENSACOLA, FL 32514(448) 227-4240(850) 208-6369 Get Directions Write a Review

NPPES record last updated: February 25, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Miranda Loren Jackson Dnp NPPES

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

MIRANDA LOREN JACKSON DNP (NPI 1104609619) is an individual nurse practitioner in Pensacola, Florida, licensed in Florida (APRN11026888) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS, is affiliated with Baptist Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1104609619

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMIRANDA LOREN JACKSONCredential: DNP

Location Address9400 UNIVERSITY PKWY STE 210Pensacola, FL 32514-5485

Mailing AddressPo Box 95590South Jordan, UT 84095-0590 · (801) 352-9500 · Fax (801) 352-7976

Phone(448) 227-4240

Fax(850) 208-6369

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateAugust 17, 2023

Last NPPES UpdateFebruary 25, 2026

NPPES CertifiedFebruary 25, 2026

✔ NPI 1104609619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in FL · APRN11026888

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.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 11026888 (FL)

9400 UNIVERSITY PKWY STE 210, Pensacola, FL 32514

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Accepted Insurance

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

Miranda Loren Jackson Dnp 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 ID4385091305

PECOS Enrollment IDI20231114000768

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 3

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 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.

305 services176 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

28 services28 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

12 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Baptist Hospital

Acute Care Hospitals · Pensacola, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100093

Location123 Baptist WayPensacola, FL 32503 · Escambia County

Emergency services Birthing friendly

Gulf Breeze Hospital

Acute Care Hospitals · Gulf Breeze, FL

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number100266

Location1110 Gulf Breeze PkwyGulf Breeze, FL 32561 · Santa Rosa County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32514 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 5

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

DR. GILBERTO LUIS VIGO M.D.

Internal Medicine