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MR. JACKIE DALE HATTEN JR. ARNP
NPI 1639607732
Nurse Practitioner - Adult Health in Tampa, FL

Active since June 01, 2017PECOS Enrolled
500 N WEST SHORE BLVD STE 635, TAMPA, FL 33609(813) 513-9493(904) 562-3317 Get Directions Write a Review

NPPES record last updated: October 4, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 4, 2018, Nov 1, 2017, Jun 1, 2017 (3 updates tracked since 2017).

About Mr. Jackie Dale Hatten Jr. Arnp NPPES

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

MR. JACKIE DALE HATTEN JR. ARNP (NPI 1639607732) is an individual adult health provider in Tampa, Florida, licensed in Florida (ARNP3419772) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS and maintains a secondary practice location in Jacksonville.

NPPES Registry Identity

NPI1639607732
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameMR. JACKIE DALE HATTEN JR.Credential: ARNP
Location Address500 N WEST SHORE BLVD STE 635Tampa, FL 33609-1910
Mailing Address500 N West Shore Blvd Ste 635Tampa, FL 33609-1910 · (813) 513-9493 · Fax (904) 562-3317
Phone(813) 513-9493
Fax(904) 562-3317
Sole ProprietorNo
Enumeration DateJune 1, 2017
Last NPPES UpdateOctober 4, 20183 updates tracked since enumeration
✔ NPI 1639607732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in FL · ARNP3419772
500 N WEST SHORE BLVD STE 635, Tampa, FL 33609
Open in Google Maps ↗

Secondary Practice Location 1

Location 11918 Blanding BlvdJacksonville, FL 32210-3202 · Phone (904) 389-6954 · Fax (904) 526-3317

Other Identifiers 1

Other1639607732FL · Employer Dose Not Take Insurance

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jackie Dale Hatten Jr. Arnp 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.

Medicare Billing Reassignment

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

Digestive Diseases Care For All LLC
36 mi
Gastroenterology
805 EAST GARDEN STREET
Lakeland, FL 33805
  • Reassigned Medicare billing, Florida enrollment
  • 11 clinicians in this Medicare group
NPI 1346484565 (863) 802-1111

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33609 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.

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 Jackie Hatten's NPI number?

The NPI number for Jackie Hatten is 1639607732. It was assigned to this individual provider in the NPPES registry on June 1, 2017.

Where is Jackie Hatten located?

Jackie Hatten practices at 500 N West Shore Blvd Ste 635, Tampa, FL 33609. The listed phone number is (813) 513-9493.

What is Jackie Hatten's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Jackie Hatten enrolled in Medicare?

Yes. Jackie Hatten is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jackie Hatten's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jackie Hatten reassigns Medicare benefits to Digestive Diseases Care For All LLC (Lakeland, 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 Jackie Hatten's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jackie Hatten accept?

Health plans from Ambetter Health and Ambetter from Superior HealthPlan list Jackie Hatten 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 Jackie Hatten was last updated on October 4, 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.