Active NPI 1346204427 Individual Practitioner Female Practitioner

Stefanie M Jackson , ARNP

Nurse Practitioner • Lake City, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Stefanie Jackson, ARNP is a certified Nurse Practitioner practicing in Lake City, FL. With approximately 31 years of clinical experience since completing medical education in 1995, Stefanie Jackson delivers high-quality medical care to the local community at 1289 SW STATE ROAD 47.

Stefanie Jackson is affiliated with Southern Internal Medicine Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, blood test, basic group of blood chemicals (calcium, total). Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1289 Sw State Road 47

Lake City, FL 320250484

Telephone 3867550421

Fax 3864871234

Associated Practice Facility / Clinic

🏢 Apex Imaging Llc Facility NPI 1144059254

Medicare Profile & Education

Medical School

Other

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Lake City, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs +21.0 yrs vs City Avg

City Avg: 10.0 Yrs

State Avg: 10.0 Yrs

Regional Practice Density

30 Specialists

Practicing in Lake City, FL (8990 Statewide)

Telehealth Adoption Rate

6.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

50.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jackson (31 Years) 31 Yrs

Lake City Specialty Average (10.0 Years) 10.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	47	43	$215.00	$108.16
36415 Insertion of needle into vein for collection of blood sample	41	39	$10.00	$8.40
80048 Blood test, basic group of blood chemicals (calcium, total)	29	28	$15.00	$8.29
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	21	21	$22.00	$7.61
83735 Magnesium level	14	14	$10.00	$6.57
83036 Hemoglobin A1C level	13	13	$25.00	$9.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	64	48	$10.00	$2.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	62	48	$215.00	$108.89
80048 Blood test, basic group of blood chemicals (calcium, total)	58	43	$15.00	$8.37
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	39	33	$22.00	$7.69
83735 Magnesium level	30	22	$10.00	$6.63
83036 Hemoglobin A1C level	28	20	$25.00	$9.62
80061 Blood test, lipids (cholesterol and triglycerides)	21	19	$25.00	$13.23
81001 Manual urinalysis test with examination using microscope, automated	21	20	$5.00	$3.13
80076 Liver function blood test panel	18	16	$15.00	$8.11
82607 Cyanocobalamin (vitamin B-12) level	18	17	$25.00	$14.90
83721 Ldl cholesterol level	17	15	$25.00	$10.39
82306 Vitamin d-3 level	16	16	$82.00	$29.29
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	14	$290.00	$154.14
93000 Routine ekg using at least 12 leads including interpretation and report	14	14	$34.00	$12.21
84100 Phosphate level	13	12	$10.00	$4.70
84443 Blood test, thyroid stimulating hormone (TSH)	13	12	$25.00	$16.64
99213 Established patient office or other outpatient visit, typically 15 minutes	12	11	$146.00	$77.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	70	61	$10.00	$3.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	66	57	$215.00	$110.79
80048 Blood test, basic group of blood chemicals (calcium, total)	58	51	$15.00	$8.46
80061 Blood test, lipids (cholesterol and triglycerides)	50	43	$25.00	$13.39
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	40	36	$22.00	$7.77
83036 Hemoglobin A1C level	33	27	$25.00	$9.71
83735 Magnesium level	22	19	$10.00	$6.70
99213 Established patient office or other outpatient visit, typically 15 minutes	19	18	$146.00	$76.15
80076 Liver function blood test panel	18	18	$15.00	$8.17
83540 Iron level	16	13	$18.00	$6.47
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	16	$290.00	$155.54
82728 Ferritin (blood protein) level	16	13	$38.00	$13.63
83550 Iron binding capacity	16	13	$24.00	$8.74
84443 Blood test, thyroid stimulating hormone (TSH)	14	13	$25.00	$16.80
81001 Manual urinalysis test with examination using microscope, automated	14	13	$5.00	$3.17
82607 Cyanocobalamin (vitamin B-12) level	14	13	$25.00	$15.08
83970 Parathormone (parathyroid hormone) level	12	11	$114.00	$41.28
82306 Vitamin d-3 level	12	11	$82.00	$29.60
84100 Phosphate level	12	11	$10.00	$4.74
83721 Ldl cholesterol level	11	11	$25.00	$10.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$215.00	$92.80
36415 Insertion of needle into vein for collection of blood sample	12	12	$10.00	$3.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	19	$215.00	$91.28
99213 Established patient office or other outpatient visit, typically 15 minutes	16	16	$146.00	$62.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	40	40	$146.00	$59.81
36415 Insertion of needle into vein for collection of blood sample	33	31	$10.00	$2.94
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	24	22	$22.00	$9.40
80048 Blood test, basic group of blood chemicals (calcium, total)	22	21	$15.00	$10.23
80061 Blood test, lipids (cholesterol and triglycerides)	15	15	$25.00	$16.20
83735 Magnesium level	14	13	$10.00	$8.10
82607 Cyanocobalamin (vitamin B-12) level	12	12	$25.00	$18.24
83036 Hemoglobin A1C level	11	11	$25.00	$11.75
84443 Blood test, thyroid stimulating hormone (TSH)	11	11	$25.00	$20.33

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License FL ARNP 2620432

(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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medical License

ARNP2620432 (FL)

Commercial Insurance / Payer ID Avmed

275262 (FL)

Commercial Insurance / Payer ID Taxonomy Code

363L00000X (FL)

Commercial Insurance / Payer ID Medicare Ptan

DE000Z (FL)

Hospital & Practice Group Affiliations

Southern Internal Medicine Pllc

404 Nw Hall Of Fame Dr, Lake City, FL 320554833

Phone: 3867192540

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners

Dr. Richard Wright , MD

Family Medicine

NPI 1144284217

Doctor of Medicine (M.D.)

Cayla Derringer

Nurse Practitioner - Primary Care

NPI 1225988843

Jeral Carr , PA-C

Physician Assistant

NPI 1326002452

Physician Assistant (Certified)

Sheri Borchardt , ARNP

Nurse Practitioner - Family

NPI 1700337458

Advanced Registered Nurse Practitioner

Kyle Wright , PA-C

Physician Assistant - Medical

NPI 1841422185

Physician Assistant (Certified)

Anthony Lambert , PA-C

Physician Assistant

NPI 1982691218

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active June 25, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location June 25, 2010

Registered at 1289 SW STATE ROAD 47, LAKE CITY, FL 320250484 (Tel: 3867550421)

📍

Updated Business Mailing Address June 25, 2010

Registered at 1289 SW STATE ROAD 47, LAKE CITY, FL 320250484 (Tel: 3867550421)

👤

Provider Name / Credentials Updated June 25, 2010

Recorded as STEFANIE JACKSON, ARNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2010

Nurse Practitioner (License #ARNP 2620432 in FL)

🟢

Initial NPI Registration & Enumeration April 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Stefanie Jackson. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1346204427

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 14, 2006

Last Update: June 25, 2010

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1289 Sw State Road 47

Lake City, FL 320250484

Phone: 3867550421

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.