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AUDREY LEE FARSON JACKSON APRN
NPI 1114507332
Nurse Practitioner - Primary Care in Melbourne, FL

Active since April 12, 2021PECOS EnrolledAccepts Medicare Assignment
1223 GATEWAY DR STE 1D, MELBOURNE, FL 32901(321) 729-6166(321) 722-1237 Get Directions Write a Review

NPPES record last updated: February 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 9, 2024, Jan 3, 2024, Apr 12, 2021 (3 updates tracked since 2021).

About Audrey Lee Farson Jackson Aprn NPPES

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

AUDREY LEE FARSON JACKSON APRN (NPI 1114507332) is an individual primary care provider in Melbourne, Florida, licensed in Florida (APRN11026952) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with Holmes Regional Medical Center, and maintains a secondary practice location in Palm Bay.

NPPES Registry Identity

NPI1114507332
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameAUDREY LEE FARSON JACKSONCredential: APRN
Location Address1223 GATEWAY DR STE 1DMelbourne, FL 32901-2607
Mailing Address3300 S Fiske BlvdRockledge, FL 32955-4306 · (321) 729-6166
Phone(321) 729-6166
Fax(321) 722-1237
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateApril 12, 2021
Last NPPES UpdateFebruary 9, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2024
✔ NPI 1114507332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in FL · APRN11026952
Also ListedNurse Practitioner · Obstetrics & GynecologyTaxonomy 363LX0001X · License APRN11026952 (FL)
1223 GATEWAY DR STE 1D, Melbourne, FL 32901
Open in Google Maps ↗

Secondary Practice Location 1

Location 13425 Bayside Lakes Blvd SE Ste 110Palm Bay, FL 32909-6867 · Phone (321) 729-6166 · Fax (321) 722-1237

Other Identifiers 2

OtherSA065FL · Medicare Hf
Medicaid120782400FL

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 and accepts Medicare assignment

Audrey Lee Farson Jackson Aprn 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 ID7810348828
PECOS Enrollment IDI20240103003953
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.

Hospital Affiliations CMS Care Compare 3

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

Holmes Regional Medical Center

Acute Care Hospitals · Melbourne, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100019
Location1350 S Hickory StMelbourne, FL 32901 · Brevard County
Emergency services Birthing friendly

Cape Canaveral Hospital

Acute Care Hospitals · Cocoa Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100177
Location701 W Cocoa Beach CausewayCocoa Beach, FL 32932 · Brevard County
Emergency services Birthing friendly

Viera Hospital

Acute Care Hospitals · Melbourne, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100315
Location8745 N Wickham RdMelbourne, FL 32940 · Brevard County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32901 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 4

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

NATALIA CAMACHO MD
Obstetrics & Gynecology
1223 GATEWAY DR STE 1D
MELBOURNE, FL 32901
Brevard County (321) 729-6166
CARLOS MARIO OLIVEIRA MD
Obstetrics & Gynecology (Gynecology)
1223 GATEWAY DR STE 1D
MELBOURNE, FL 32901
Brevard County (321) 312-3480
ANN M QUESADA-YARBROUGH APRN
Nurse Practitioner (Women's Health)
1223 GATEWAY DR STE 1D
MELBOURNE, FL 32901
Brevard County (321) 312-3484
ANASTASIA HAWKINS D.O
Obstetrics & Gynecology
1223 GATEWAY DR STE 1D
MELBOURNE, FL 32901
Brevard County (321) 729-6166

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 Audrey Jackson's NPI number?

The NPI number for Audrey Jackson is 1114507332. It was assigned to this individual provider in the NPPES registry on April 12, 2021.

Where is Audrey Jackson located?

Audrey Jackson practices at 1223 Gateway Dr Ste 1D, Melbourne, FL 32901. The listed phone number is (321) 729-6166.

What is Audrey Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Audrey Jackson enrolled in Medicare?

Yes. Audrey 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 Audrey Jackson accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama and Health First Commercial Plans, Inc. list Audrey 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 Audrey Jackson affiliated with any hospitals?

According to CMS data, Audrey Jackson is affiliated with Holmes Regional Medical Center, Cape Canaveral Hospital and Viera Hospital.

When was this NPI record last updated?

The NPPES record for Audrey Jackson was last updated on February 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.