Individual provider Active NPI

Jamie Lee Koshko, APRN

  • Family Nurse Practitioner
  • Bradenton, FL
National Provider Identifier
1063304293
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11041501 Issued in FL
Practice address
3630 Manatee Ave W
Bradenton, FL 34205-2557
Phone
(941) 792-1881
Fax
(941) 795-3924
NPI assigned
Jul 21, 2025
Last updated
Jun 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11041501 FL Primary

Addresses

Primary practice location

3630 Manatee Ave W
Bradenton, FL 34205-2557

Mailing address

PO Box 102222
Atlanta, GA 30368-2222
Phone (239) 274-8200

Other practice location 1

1941 Waldemere St Fl 4
Sarasota, FL 34239-2922
Phone (941) 957-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250918000047 FL Practitioner - Nurse Practitioner 7618471103 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3630 Manatee Ave W
Bradenton, FL 34205-2557
Phone (941) 792-1881

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Cancer Specialists & Research Institute, LLC CurrentSince Aug 25, 2025 Accepting new patients
Florida Cancer Specialists & Research Institute, LLC CurrentSince Sep 8, 2025 Accepting new patients
Florida Cancer Specialists & Research Institute, LLC Past Accepting new patients
Florida Cancer Specialists & Research Institute, LLC PastSince Jan 12, 2025 Accepting new patients
Florida Cancer Specialists & Research Institute, LLC Past Accepting new patients
Florida Cancer Specialists & Research Institute, LLC Past Accepting new patients

Locations

3630 Manatee Ave W
Bradenton, FL 34205
Phone (941) 792-1881

5985 Silver Falls Run
Ste 200
Bradenton, FL 34211
Phone (941) 907-4737

714 Doctors Dr
Englewood, FL 34223
Phone (941) 460-1300

5500 Pinebrook Rd
Ste 202
North Venice, FL 34275
Phone (941) 408-0500

1941 Waldemere St
Fl 4
Sarasota, FL 34239
Phone (941) 957-1000

1970 Golf St
Sarasota, FL 34236
Phone (941) 957-1000

1970 Golf St
Fl Cancer
Sarasota, FL 34236
Phone (941) 795-3780

600 N Cattlemen Rd
Ste 200
Sarasota, FL 34232
Phone (941) 377-9993

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1753056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1063304293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102222",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303682222",
            "telephone_number": "239-274-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 MANATEE AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342052557",
            "telephone_number": "941-792-1881",
            "fax_number": "941-795-3924"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1941 Waldemere St Fl 4",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342392922",
            "country_code": "US",
            "telephone_number": "941-957-1000",
            "fax_number": "941-951-2117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOSHKO",
        "first_name": "JAMIE LEE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-21",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11041501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.