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KANDACE JACKSON APRN
NPI 1912889205
Nurse Practitioner - Family in Davie, FL

Active since July 25, 2025PECOS EnrolledAccepts Medicare Assignment
4830 GRAPEVINE WAY, DAVIE, FL 33331(305) 733-9573 Get Directions Write a Review

NPPES record last updated: July 25, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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

NPI1912889205
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKANDACE JACKSONCredential: APRN
Location Address4830 GRAPEVINE WAYDavie, FL 33331-3357
Mailing Address4830 Grapevine WayDavie, FL 33331-3357 · (305) 733-9573
Phone(305) 733-9573
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 25, 2025
NPPES CertifiedJuly 25, 2025
✔ NPI 1912889205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · APRN11039117
4830 GRAPEVINE WAY, Davie, FL 33331
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Cigna Healthcare, Cigna HealthCare of Florida, Inc..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

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.

PECOS PAC ID42717480
PECOS Enrollment IDI20251009004882
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 Kandace Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Public Health Trust Of Miami Dade County Florida
7.7 mi
Family Medicine
600 S PINE ISLAND RD STE 200
Plantation, FL 33324
  • Reassigned Medicare billing, Florida enrollment
  • 570 clinicians in this Medicare group
NPI 1245121425 (305) 355-6060

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 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.

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.

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.

Which organization bills Medicare for Kandace Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kandace Jackson reassigns Medicare benefits to Public Health Trust Of Miami Dade County Florida (Plantation, 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 Kandace Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kandace Jackson accept?

Health plans from AmeriHealth Caritas Next, Cigna HealthCare of Florida, Inc. and Cigna Healthcare list Kandace 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.

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 15 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.