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DARIAN HILTON JONES APRN
NPI 1487128393
Nurse Practitioner - Family in Lake Wales, FL

Active since January 14, 2019PECOS EnrolledAccepts Medicare Assignment
1204 CARLTON AVE, LAKE WALES, FL 33853(863) 456-4091(863) 456-4089 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 3, 2026, Nov 3, 2020, Oct 20, 2020 and 2 more (5 updates tracked since 2019).

About Darian Hilton Jones Aprn NPPES

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

DARIAN HILTON JONES APRN (NPI 1487128393) is an individual family provider in Lake Wales, Florida, licensed in Florida (APRN11000616) and active in the NPI registry since January 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1487128393
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDARIAN HILTON JONESCredential: APRN
Location Address1204 CARLTON AVELake Wales, FL 33853-4318
Mailing Address1204 Carlton AveLake Wales, FL 33853-4318 · (863) 456-4091 · Fax (863) 456-4089
Phone(863) 456-4091
Fax(863) 456-4089
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 14, 2019
Last NPPES UpdateJune 3, 20265 updates tracked since enumeration
NPPES CertifiedJune 3, 2026
✔ NPI 1487128393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · APRN11000616
Also ListedNurse PractitionerTaxonomy 363L00000X · License APRN11000616 (FL)
1204 CARLTON AVE, Lake Wales, FL 33853
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida.Insurance ›

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

Darian Hilton Jones 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 ID8527399831
PECOS Enrollment IDI20191016003327
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Darian Jones reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ashjon Medical LLC
Same address
Urgent Care
1204 CARLTON AVE
Lake Wales, FL 33853
  • Reassigned Medicare billing, Florida enrollment
  • 2 clinicians in this Medicare group
NPI 1326939844 (863) 214-7853
Treasure Coast Medical Associates
64 mi
Emergency Medicine
305 NE PARK ST
Okeechobee, FL 34972
  • Reassigned Medicare billing, Florida enrollment
  • 38 clinicians in this Medicare group
NPI 1528455847 (863) 484-8154
Emergency Medicine Services Of Fl, LLC
159 mi
Emergency Medicine
20900 BISCAYNE BLVD
Aventura, FL 33180
  • Reassigned Medicare billing, Florida enrollment
  • 1,912 clinicians in this Medicare group
NPI 1043917180 (305) 682-7000

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

Areas of Expertise CMS Part B claims 3

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
304 services276 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
52 services52 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33853 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 claims36 services$6.21 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 2

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

ASHJON MEDICAL LLC
Clinic/Center (Urgent Care)
1204 CARLTON AVE
LAKE WALES, FL 33853
Polk County (863) 214-7853
JOHN WILLIAM ASHLEY APRN
Nurse Practitioner (Family)
1204 CARLTON AVE
LAKE WALES, FL 33853
Polk County (863) 456-4091

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 Darian Jones's NPI number?

The NPI number for Darian Jones is 1487128393. It was assigned to this individual provider in the NPPES registry on January 14, 2019.

Where is Darian Jones located?

Darian Jones practices at 1204 Carlton Ave, Lake Wales, FL 33853. The listed phone number is (863) 456-4091.

What is Darian Jones's specialty?

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

Is Darian Jones enrolled in Medicare?

Yes. Darian Jones 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 organizations bill Medicare for Darian Jones's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Darian Jones reassigns Medicare benefits to 3 organizations: Ashjon Medical LLC (Lake Wales, FL), Treasure Coast Medical Associates (Okeechobee, FL) and Emergency Medicine Services Of Fl, LLC (Aventura, FL). Each 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 Darian Jones's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Darian Jones accept?

Health plans from Oscar Health Maintenance Organization of Florida list Darian Jones 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.

When was this NPI record last updated?

The NPPES record for Darian Jones was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.