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CARRIE JACKA
NPI 1356078075
Speech-Language Pathologist in Brandon, FL

Active since August 03, 2022Accepts Medicare Assignment
1465 OAKFIELD DR, BRANDON, FL 33511(509) 847-8847 Get Directions Write a Review

NPPES record last updated: August 3, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Carrie Jacka NPPES

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

CARRIE JACKA (NPI 1356078075) is an individual speech-language pathologist provider in Brandon, Florida and active in the NPI registry since August 2022. She is a graduate of Other (2022).

NPPES Registry Identity

NPI1356078075
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameCARRIE JACKA
Location Address1465 OAKFIELD DRBrandon, FL 33511-4854
Mailing Address9513 Delaney Creek Blvd Apt 201Tampa, FL 33619-5181 · (509) 847-8847
Phone(509) 847-8847
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 3, 2022
NPPES CertifiedAugust 3, 2022
✔ NPI 1356078075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
1465 OAKFIELD DR, Brandon, FL 33511
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Carrie Jacka 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 ID6608384706
PECOS Enrollment IDI20250731002884

Medicare Billing Reassignment

Medicare enrollment records show Carrie Jacka reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Legacy Healthcare Services, Inc
15 mi
Physical Therapist
17470 BROOKSIDE TRACE CT
Tampa, FL 33647
  • Reassigned Medicare billing, Florida enrollment
  • 264 clinicians in this Medicare group
NPI 1336535988 (813) 443-5042

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

BRANDON HEALTH CARE ASSOCIATES LLC
Skilled Nursing Facility
1465 OAKFIELD DR
BRANDON, FL 33511
Hillsborough County (813) 655-0404
SHEVIN KULANGARA
Physical Therapy Assistant
1465 OAKFIELD DR
BRANDON, FL 33511
Hillsborough County (813) 438-8478
1465 OAKFIELD DR OPCO LLC
Skilled Nursing Facility
1465 OAKFIELD DR
BRANDON, FL 33511
Hillsborough County (813) 655-0404
ANNE POPOVICH
Speech-Language Pathologist
1465 OAKFIELD DR
BRANDON, FL 33511
Hillsborough County (814) 241-6279
MRS. BEVERLY A SANCHEZ PT
Physical Therapist
1465 OAKFIELD DR
BRANDON, FL 33511
Hillsborough County (813) 685-4970
MRS. CHELSEY HUMPHREY
Speech-Language Pathologist
1465 OAKFIELD DR
BRANDON, FL 33511
Hillsborough County (813) 655-0404
MRS. MARY JO HASAN MED CCC/SLP
Speech-Language Pathologist
1465 OAKFIELD DR
BRANDON, FL 33511
Hillsborough County (813) 655-0404
LAUREL A LEIGH COTA/L
Occupational Therapy Assistant
1465 OAKFIELD DR
BRANDON, FL 33511
Hillsborough County (813) 655-0404

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 Carrie Jacka's NPI number?

The NPI number for Carrie Jacka is 1356078075. It was assigned to this individual provider in the NPPES registry on August 3, 2022.

Where is Carrie Jacka located?

Carrie Jacka practices at 1465 Oakfield Dr, Brandon, FL 33511. The listed phone number is (509) 847-8847.

What is Carrie Jacka's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Carrie Jacka enrolled in Medicare?

Yes. Carrie Jacka 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.

Which organization bills Medicare for Carrie Jacka's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carrie Jacka reassigns Medicare benefits to Legacy Healthcare Services, Inc (Tampa, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carrie Jacka's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Carrie Jacka was last updated on August 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.