KANDACE JACKSON APRN
NPI 1912889205
Nurse Practitioner - Family in Davie, FL
About Kandace Jackson Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KANDACE JACKSON APRN (NPI 1912889205) is an individual family provider in Davie, Florida, licensed in Florida (APRN11039117) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
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
Kandace Jackson 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33331 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Kandace Jackson's NPI number?
The NPI number for Kandace Jackson is 1912889205. It was assigned to this individual provider in the NPPES registry on July 25, 2025.
Where is Kandace Jackson located?
Kandace Jackson practices at 4830 Grapevine Way, Davie, FL 33331. The listed phone number is (305) 733-9573.
What is Kandace Jackson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kandace Jackson enrolled in Medicare?
Yes. Kandace 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.
When was this NPI record last updated?
The NPPES record for Kandace Jackson was last updated on July 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
