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NAWZAD NAZAR JACKSI
NPI 1538798384
Student in an Organized Health Care Education/Training Program in Orange Park, FL

Active since April 03, 2020PECOS Enrolled
2001 KINGSLEY AVE, ORANGE PARK, FL 32073(904) 639-2000(904) 639-2015 Get Directions Write a Review

NPPES record last updated: April 3, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nawzad Nazar Jacksi NPPES

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

NAWZAD NAZAR JACKSI (NPI 1538798384) is an individual student in an organized health care education/training program in Orange Park, Florida and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1538798384
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameNAWZAD NAZAR JACKSI
Location Address2001 KINGSLEY AVEOrange Park, FL 32073-5148
Mailing Address2001 Kingsley AveOrange Park, FL 32073-5148 · (904) 639-2003 · Fax (904) 639-2015
Phone(904) 639-2000
Fax(904) 639-2015
Sole ProprietorNo
Enumeration DateApril 3, 2020
NPPES CertifiedApril 3, 2020
✔ NPI 1538798384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2001 KINGSLEY AVE, Orange Park, FL 32073
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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 (PECOS)

Nawzad Nazar Jacksi 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.

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 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.
304 services289 patients
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.
89 services88 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
66 services66 patients

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.

DR. FORREST KING M.D.
Emergency Medicine
2001 KINGSLEY AVE
ORANGE PARK, FL 32073
Clay County (904) 639-8500
DIANA LYNN BRIDGES ARNP
Nurse Practitioner (Family)
2001 KINGSLEY AVE
ORANGE PARK, FL 32073
Clay County (904) 639-8500
TOMAS LUKE LAMBERT MD
Student in an Organized Health Care Education/Training Program
2001 KINGSLEY AVE
ORANGE PARK, FL 32073
Clay County (904) 639-2000
CHRISTY GIEGER PA-C
Physician Assistant (Surgical)
2001 KINGSLEY AVE
ORANGE PARK, FL 32073
Clay County (904) 314-7733
DR. BENJAMIN ROBERT COOPER DO
Student in an Organized Health Care Education/Training Program
2001 KINGSLEY AVE
ORANGE PARK, FL 32073
Clay County (904) 639-8500
CHIRAAG ASHOKKUMAR MD
Student in an Organized Health Care Education/Training Program
2001 KINGSLEY AVE
ORANGE PARK, FL 32073
Clay County (904) 639-2005
DR. ALEXANDER NATHANIEL HOWELL DO
Dermatology
2001 KINGSLEY AVE
ORANGE PARK, FL 32073
Clay County (904) 639-2000
KUNAL PATEL DO
Student in an Organized Health Care Education/Training Program
2001 KINGSLEY AVE
ORANGE PARK, FL 32073
Clay County (904) 639-2005

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 Nawzad Jacksi's NPI number?

The NPI number for Nawzad Jacksi is 1538798384. It was assigned to this individual provider in the NPPES registry on April 3, 2020.

Where is Nawzad Jacksi located?

Nawzad Jacksi practices at 2001 Kingsley Ave, Orange Park, FL 32073. The listed phone number is (904) 639-2000.

What is Nawzad Jacksi's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Nawzad Jacksi enrolled in Medicare?

Yes. Nawzad Jacksi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nawzad Jacksi was last updated on April 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.