1. Home
  2. Directory
  3. Florida
  4. Jacksonville
  5. Nurse Practitioner
  6. NPI Profile

AMOGELANG MARYLIN KEAKOPA ARNP
NPI 1134557333
Nurse Practitioner - Acute Care in Jacksonville, FL

Active since October 24, 2013PECOS Enrolled
100/100
CMS Quality Rating
836 PRUDENTIAL DR STE 1400, JACKSONVILLE, FL 32207(904) 388-6518(904) 384-1005 Get Directions Write a Review

NPPES record last updated: August 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amogelang Marylin Keakopa Arnp NPPES

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

AMOGELANG MARYLIN KEAKOPA ARNP (NPI 1134557333) is an individual acute care provider in Jacksonville, Florida, licensed in Florida (ARNP9243994) and active in the NPI registry since October 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134557333
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameAMOGELANG MARYLIN KEAKOPACredential: ARNP
Location Address836 PRUDENTIAL DR STE 1400Jacksonville, FL 32207-8340
Mailing AddressPo Box 746647Atlanta, GA 30374-6647 · (904) 202-2092 · Fax (904) 384-1005
Phone(904) 388-6518
Fax(904) 384-1005
Sole ProprietorNo
Enumeration DateOctober 24, 2013
Last NPPES UpdateAugust 7, 2025
NPPES CertifiedAugust 7, 2025
✔ NPI 1134557333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in FL · ARNP9243994
836 PRUDENTIAL DR STE 1400, Jacksonville, FL 32207
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amogelang Marylin Keakopa Arnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 32207 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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.

JESSICA DEFAZIO PA-C
Physician Assistant
836 PRUDENTIAL DR STE 1400
JACKSONVILLE, FL 32207
Duval County (904) 388-6518
ERIN ANNE HOXSEY SCHILLO ARNP
Nurse Practitioner (Family)
836 PRUDENTIAL DR STE 1400
JACKSONVILLE, FL 32207
Duval County (904) 396-0000
KRISHNAN RAVINDRAN MD
Neurological Surgery
836 PRUDENTIAL DR STE 1400
JACKSONVILLE, FL 32207
Duval County (904) 388-6518
ANNALISE M DEBOEF APRN
Nurse Practitioner
836 PRUDENTIAL DR STE 1400
JACKSONVILLE, FL 32207
Duval County (904) 388-6518
JHARNA NITIN SHAH MD
Psychiatry & Neurology (Neurocritical Care)
836 PRUDENTIAL DR STE 1400
JACKSONVILLE, FL 32207
Duval County (904) 388-6518
HEATHER MARIE BEAN ARNP
Nurse Practitioner (Acute Care)
836 PRUDENTIAL DR STE 1400
JACKSONVILLE, FL 32207
Duval County (904) 388-6518
MRS. KRISTIE D SAUER ARNP
Nurse Practitioner (Acute Care)
836 PRUDENTIAL DR STE 1400
JACKSONVILLE, FL 32207
Duval County (904) 388-6518
DR. BRADLEY A WALLACE MD
Neurological Surgery
836 PRUDENTIAL DR STE 1400
JACKSONVILLE, FL 32207
Duval County (904) 388-6518

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 Amogelang Keakopa's NPI number?

The NPI number for Amogelang Keakopa is 1134557333. It was assigned to this individual provider in the NPPES registry on October 24, 2013.

Where is Amogelang Keakopa located?

Amogelang Keakopa practices at 836 Prudential Dr Ste 1400, Jacksonville, FL 32207. The listed phone number is (904) 388-6518.

What is Amogelang Keakopa's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Amogelang Keakopa enrolled in Medicare?

Yes. Amogelang Keakopa is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amogelang Keakopa was last updated on August 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.