MISS CARMEN RENEE JACKSON ARNP, FNP-BC
NPI 1346748688
Nurse Practitioner - Family in Lakeland, FL

Q: What is Carmen Jackson's NPI number?

The NPI number for Carmen Jackson is 1346748688. It was assigned to this individual provider in the NPPES registry on January 31, 2018.

Q: What is Carmen 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 Carmen Jackson was last updated on March 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since January 31, 2018PECOS EnrolledAccepts Medicare Assignment

1005 N LAKE PARKER AVE, LAKELAND, FL 33805(863) 583-4053 Get Directions Write a Review

NPPES record last updated: March 6, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Miss Carmen Renee Jackson Arnp, Fnp-bc NPPES

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

MISS CARMEN RENEE JACKSON ARNP, FNP-BC (NPI 1346748688) is an individual family provider in Lakeland, Florida, licensed in Florida (ARNP935595) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS, is affiliated with Clinch Memorial Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1346748688

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMISS CARMEN RENEE JACKSONCredential: ARNP, FNP-BC

Location Address1005 N LAKE PARKER AVELakeland, FL 33805-4723

Mailing Address418 Euclid Ave Apt 4bMiami Beach, FL 33139-6526 · (305) 726-4727

Phone(863) 583-4053

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJanuary 31, 2018

Last NPPES UpdateMarch 6, 2018

✔ NPI 1346748688 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 · ARNP935595

1005 N LAKE PARKER AVE, Lakeland, FL 33805

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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

Miss Carmen Renee Jackson Arnp, Fnp-bc 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 ID5496017618

PECOS Enrollment IDI20180327001989

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 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.

42 services34 patients

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.

25 services22 patients

Hospital Affiliations CMS Care Compare

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

Clinch Memorial Hospital

Critical Access Hospitals · Homerville, GA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number111308

Location1050 Valdosta HighwayHomerville, GA 31634 · Clinch County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33805 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.

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

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