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Individual provider Active NPI

Kerri Copeland Jarrell, ARPN

  • Gerontology Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1013349604
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
ARNP9294200 Issued in FL
Practice address
11701 San Jose Blvd
Suite 103
Jacksonville, FL 32223-0756
Phone
(904) 262-9075
Fax
(904) 262-9076
NPI assigned
Aug 6, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X ARNP9294200 FL Primary

Addresses

Primary practice location

11701 San Jose Blvd
Suite 103
Jacksonville, FL 32223-0756

Mailing address

11701 San Jose Blvd Ste 103
Jacksonville, FL 32223-0756
Phone (904) 262-9075

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130924000134 FL Practitioner - Nurse Practitioner 6204070774 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Proton Therapy Institute IncGroup PAC ID 0749285609, 12 clinicians

Practice addresses (Care Compare)

2015 Jefferson St
Jacksonville, FL 32206-3531
Phone (904) 588-1800

Hospital & facility affiliations

  • Shands Jacksonville Hospital, Jacksonville, FL, CCN 100001
  • Flagler Hospital Hospital, Saint Augustine, FL, CCN 100090
  • Baptist Health Medical Center - Jacksonville Hospital, Jacksonville, FL, CCN 100088
  • Uf Health Shands Hospital Hospital, Gainesville, FL, CCN 100113
  • Baptist Medical Center Beaches Hospital, Jacksonville Beach, FL, CCN 100117

Merit-based Incentive Payment System (MIPS)

Final score
54.48 of 100Reported as group
Quality
52.75
Promoting interoperability
0
Improvement activities
40
Cost
78.86

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP9294200FLMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Proton Therapy Institute Inc CurrentSince Apr 22, 2023 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Jan 2, 2018 Accepting new patients
University of Florida Jacksonville Physicians Inc CurrentSince May 6, 2021 Accepting new patients
University of Florida Jacksonville Physicians Inc CurrentSince Jan 2, 2018 Accepting new patients

Locations

1255 Lila St
Jacksonville, FL 32208
Phone (904) 244-5700

2777 University Blvd W
Ste 26
Jacksonville, FL 32217
Phone (904) 633-0475

2015 Jefferson St
Jacksonville, FL 32206
Phone (904) 588-1239

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

Interoperability endpoints

  • Direct secure messaging: kjarrell273609@direct.shands.ufl.edu

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1375747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1013349604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11701 SAN JOSE BLVD STE 103",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322230756",
            "telephone_number": "904-262-9075",
            "fax_number": "904-262-9076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11701 SAN JOSE BLVD",
            "address_2": "SUITE 103",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322230756",
            "telephone_number": "904-262-9075",
            "fax_number": "904-262-9076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARRELL",
        "first_name": "KERRI",
        "middle_name": "COPELAND",
        "credential": "ARPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-06",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "ARNP9294200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.