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KORY JACKSON NP
NPI 1669823068
Nurse Practitioner - Gerontology in Fort Myers, FL

Active since June 27, 2016PECOS EnrolledAccepts Medicare Assignment
13685 DOCTORS WAY STE 170, FORT MYERS, FL 33912(239) 343-0629(239) 343-0625 Get Directions Write a Review

NPPES record last updated: July 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 14, 2023, Jun 27, 2016 (2 updates tracked since 2016).

About Kory Jackson Np NPPES

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

KORY JACKSON NP (NPI 1669823068) is an individual gerontology provider in Fort Myers, Florida, licensed in Florida (APRN11024568) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with Lee Memorial Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1669823068
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameKORY JACKSONCredential: NP
Location Address13685 DOCTORS WAY STE 170Fort Myers, FL 33912-4337
Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 343-0629 · Fax (239) 343-0625
Phone(239) 343-0629
Fax(239) 343-0625
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 27, 2016
Last NPPES UpdateJuly 14, 20232 updates tracked since enumeration
NPPES CertifiedJuly 14, 2023
✔ NPI 1669823068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
Licenses✔ Licensed in FL · APRN11024568✔ Licensed in IL · 209014384
13685 DOCTORS WAY STE 170, Fort Myers, FL 33912
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Other Names 1

Former Name (1)Kory Mayo

Other Identifiers 1

Medicaid118448900FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Wellpoint.Insurance ›

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

Kory Jackson Np 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 ID5193018083
PECOS Enrollment IDI20230711001920
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.
253 services246 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
84 services84 patients

Hospital Affiliations CMS Care Compare 3

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

Lee Memorial Hospital

Acute Care Hospitals · Fort Myers, FL
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100012
Location2776 Cleveland AveFort Myers, FL 33901 · Lee County
Emergency services Birthing friendly

Gulf Coast Medical Center Lee Health

Acute Care Hospitals · Fort Myers, FL
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100220
Location13681 Doctors WayFort Myers, FL 33912 · Lee County
Emergency services

Cape Coral Hospital

Acute Care Hospitals · Cape Coral, FL
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100244
Location636 Del Prado BlvdCape Coral, FL 33990 · Lee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33912 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$20.68 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier12 claims12 services$8.22 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

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

ANISLEY ROBAINA APRN
Nurse Practitioner (Psychiatric/Mental Health)
13685 DOCTORS WAY STE 170
FORT MYERS, FL 33912
Lee County (239) 440-6456

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 Kory Jackson's NPI number?

The NPI number for Kory Jackson is 1669823068. It was assigned to this individual provider in the NPPES registry on June 27, 2016. The provider is also known as Kory Mayo.

Where is Kory Jackson located?

Kory Jackson practices at 13685 Doctors Way Ste 170, Fort Myers, FL 33912. The listed phone number is (239) 343-0629.

What is Kory Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Kory Jackson enrolled in Medicare?

Yes. Kory Jackson 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.

What insurance does Kory Jackson accept?

Health plans from AvMed and Wellpoint list Kory Jackson 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.

Is Kory Jackson affiliated with any hospitals?

According to CMS data, Kory Jackson is affiliated with Lee Memorial Hospital, Gulf Coast Medical Center Lee Health and Cape Coral Hospital.

When was this NPI record last updated?

The NPPES record for Kory Jackson was last updated on July 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.