Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114507332 Individual Practitioner Female Practitioner

Audrey Lee Farson Jackson , APRN

Nurse Practitioner - Primary Care • Melbourne, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Audrey Jackson, APRN is a certified Nurse Practitioner - Primary Care practicing in Melbourne, FL. With approximately 4 years of clinical experience since completing medical education in 2022, Audrey Jackson delivers high-quality medical care to the local community at 1223 GATEWAY DR STE 1D.

Audrey Jackson is affiliated with Health First Medical Group, Llc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1223 Gateway Dr Ste 1d

Melbourne, FL 329012607

Telephone 3217296166
Fax 3217221237
Associated Practice Facility / Clinic
🏢 Health First Physicians, Inc Facility NPI 1164474276

Medicare Profile & Education

Medical School

Other

Graduation Year

2022

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Primary Care in Melbourne, FL

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -4.7 yrs vs City Avg
City Avg: 8.7 Yrs
State Avg: 7.9 Yrs
Regional Practice Density
7 Specialists

Practicing in Melbourne, FL (1099 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jackson (4 Years) 4 Yrs
Melbourne Specialty Average (8.7 Years) 8.7 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-02-09
Nurse Practitioner - Primary Care Primary Specialty

NUCC Taxonomy Code: 363LP2300X

State License FL APRN11026952

Definition to come...

Nurse Practitioner - Obstetrics & Gynecology

NUCC Taxonomy Code: 363LX0001X

State License FL APRN11026952

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
120782400 (FL)
Commercial Insurance / Payer ID Medicare Hf
SA065 (FL)

Hospital & Practice Group Affiliations

Health First Medical Group, Llc

1223 Gateway Dr, Melbourne, FL 329012607

Phone: 3217254500

Secondary Practice Locations

3425 Bayside Lakes Blvd Se Ste 110

Palm Bay, FL 329096867

Phone: 3217296166

Practice Associates & Co-Workers

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

11 Associated Practitioners
NPI 1053694539

Doctor of Medicine (M.D.)

Dr. Natalia Camacho , MD

Obstetrics & Gynecology

NPI 1164559449

Doctor of Medicine (M.D.)

Dr. Pascale Duroseau , MD

Obstetrics & Gynecology

NPI 1336206499

Doctor of Medicine (M.D.)

Christi Forster , FNP-BC

Nurse Practitioner - Family

NPI 1396359568

Family Nurse Practitioner (Board Certified)

Dr. Carlos Oliveira , MD

Obstetrics & Gynecology - Gynecology

NPI 1588648687

Doctor of Medicine (M.D.)

Kathleen Wagner , ARNP

Nurse Practitioner - Obstetrics & Gynecology

NPI 1740397041

Advanced Registered Nurse Practitioner

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location January 03, 2024

Registered at 1223 GATEWAY DR STE 1D, MELBOURNE, FL 329012607 (Tel: 3217296166)

📍
Updated Business Mailing Address January 03, 2024

Registered at 3300 S FISKE BLVD, ROCKLEDGE, FL 329554306 (Tel: 3217296166)

👤
Provider Name / Credentials Updated January 03, 2024

Recorded as AUDREY JACKSON, APRN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 03, 2024

Nurse Practitioner (License #APRN11026952 in FL)

NPI Profile Active April 12, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location April 12, 2021

Registered at 5352 LINTON BLVD, DELRAY BEACH, FL 334846514 (Tel: 3216154889)

📍
Updated Business Mailing Address April 12, 2021

Registered at 5352 LINTON BLVD, DELRAY BEACH, FL 334846514 (Tel: 3216154889)

👤
Provider Name / Credentials Updated April 12, 2021

Recorded as AUDREY JACKSON, RN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 12, 2021

Registered Nurse (License #RN9469275 in FL)

🟢
Initial NPI Registration & Enumeration April 12, 2021

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 Audrey Jackson. Be the first to share your experience!

Sign in to leave a review for Audrey Jackson

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

NPI Administrative Meta

NPI Number: 1114507332
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 12, 2021
Last Update: February 09, 2024
Sole Proprietor: Yes

Mailing Address

3300 S Fiske Blvd

Rockledge, FL 329554306

Phone: 3217296166

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.