Kimika Jackson , ARNP
Nurse Practitioner • Jacksonville, FL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kimika Jackson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Kimika Jackson, ARNP was a registered Nurse Practitioner practicing in Jacksonville, FL. Throughout an active medical career spanning 1 years, Kimika Jackson provided care at the practice location at 10175 FORTUNE PKWY until profile deactivation on 2018-08-10.
Historical Medicare Part B clinical services included subsequent hospital care with moderate levelof medical decision making, if using time, at least. Public procedure reimbursement records and service volume details are provided below for historical transparency.
Practice Location & Contact Primary Location
10175 Fortune Pkwy
Jacksonville, FL 322566746
Specialty Benchmarks & Practice Insights
Comparative analytics for Nurse Practitioner in Jacksonville, FL
Practicing in Jacksonville, FL (8990 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Performed Procedures & Service Volume
Top Medicare Part B procedures performed by this practitioner
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99232
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
|
25 | 24 | $110.00 | $62.28 |
Medical Specialties & State Licenses
NUCC Taxonomy Code: 363L00000X
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Internal Medicine
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on August 10, 2018
NPI status registered as active in NPPES database
Registered at 10175 FORTUNE PKWY, JACKSONVILLE, FL 322566746 (Tel: 9042226176)
Registered at 10023 BELLE RIVE BLVD APT 910, JACKSONVILLE, FL 322569577 (Tel: 2056016718)
Recorded as KIMIKA JACKSON, ARNP
Nurse Practitioner (License #9421455 in FL)
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
Verified patient ratings, medical care experiences, and facility photos
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NPI Administrative Meta
Mailing Address
10023 Belle Rive Blvd Apt 910
Jacksonville, FL 322569577
Phone: 2056016718
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