JAMES EDWIN FOLKNER II ARNP
NPI 1336570183
Nurse Practitioner - Family in Sebring, FL

Active since December 04, 2013PECOS EnrolledAccepts Medicare Assignment
7205 S GEORGE BLVD, SEBRING, FL 33875(863) 382-7234(863) 382-7289 Get Directions Write a Review

NPPES record last updated: September 29, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 29, 2016, Jan 21, 2016 (2 updates tracked since 2016).

About James Edwin Folkner Ii Arnp NPPES

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

JAMES EDWIN FOLKNER II ARNP (NPI 1336570183) is an individual family provider in Sebring, Florida, licensed in Florida (ARNP9372756) and active in the NPI registry since December 2013. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Sebring, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1336570183
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJAMES EDWIN FOLKNER IICredential: ARNP
Location Address7205 S GEORGE BLVDSebring, FL 33875-5847
Mailing Address7205 S George BlvdSebring, FL 33875-5847 · (863) 382-7234 · Fax (863) 382-7289
Fax(863) 382-7289
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateDecember 4, 2013
Last NPPES UpdateSeptember 29, 20162 updates tracked since enumeration
NPI 1336570183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in FL · ARNP9372756
7205 S GEORGE BLVD, Sebring, FL 33875

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

James Edwin Folkner Ii Arnp 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 ID1355570276
PECOS Enrollment IDI20140218001145
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 2

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.
33 services15 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.
17 services12 patients

Hospital Affiliations CMS Care Compare

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

Adventhealth Sebring

Acute Care Hospitals · Sebring, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100109
Location4200 Sun N Lake BlvdSebring, FL 33872 · Highlands County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33875 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers11 claims37 services$6.39 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Licensed Practical Nurse
7205 S GEORGE BLVD
SEBRING, FL 33875
Registered Nurse
7205 S GEORGE BLVD
SEBRING, FL 33875
Registered Nurse (School)
7205 S GEORGE BLVD
SEBRING, FL 33875
Licensed Practical Nurse
7205 S GEORGE BLVD
SEBRING, FL 33875
Registered Nurse (Case Management)
7205 S GEORGE BLVD
SEBRING, FL 33875
Licensed Practical Nurse
7205 S GEORGE BLVD
SEBRING, FL 33875
Licensed Practical Nurse
7205 S GEORGE BLVD
SEBRING, FL 33875
Licensed Practical Nurse
7205 S GEORGE BLVD
SEBRING, FL 33875

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 James Folkner's NPI number?

The NPI number for James Folkner is 1336570183. It was assigned to this individual provider in the NPPES registry on December 4, 2013.

Where is James Folkner located?

James Folkner practices at 7205 S George Blvd, Sebring, FL 33875. The listed phone number is (863) 382-7234.

What is James Folkner's specialty?

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

Is James Folkner enrolled in Medicare?

Yes. James Folkner 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 James Folkner accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama and UnitedHealthcare list James Folkner 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 James Folkner affiliated with any hospitals?

According to CMS data, James Folkner is affiliated with Adventhealth Sebring.

When was this NPI record last updated?

The NPPES record for James Folkner was last updated on September 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.