Individual provider Active NPI

Karen Jackson, CRNP

  • Acute Care Nurse Practitioner
  • Pensacola, FL
National Provider Identifier
1124274774
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
ARNP9287293 Issued in FL
Practice address
45 Industrial Blvd Ste C
Pensacola, FL 32503-7668
Phone
(850) 290-8410
Fax
(866) 574-6391
NPI assigned
Aug 14, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN9287293 FL
Acute Care Nurse Practitioner 363LA2100X ARNP9287293 FL Primary
Acute Care Nurse Practitioner 363LA2100X 1-087343 AL

Addresses

Primary practice location

45 Industrial Blvd Ste C
Pensacola, FL 32503-7668

Mailing address

45 Industrial Blvd Ste C
Pensacola, FL 32503-7668
Phone (850) 290-8410

Other practice location 1

107 Nicole Pl
Daphne, AL 36526-7614
Phone (251) 533-6372

Other identifiers 1

IdentifierTypeStateIssuer
P00720964OtherFLRAILROAD MEDICARE

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
I20090520000632 FL Practitioner - Nurse Practitioner 9638246903 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beacon Medical LLCGroup PAC ID 5799031969, 12 clinicians

Practice addresses (Care Compare)

45 Industrial Blvd
Suite C
Pensacola, FL 32503-7668
Phone (251) 533-3509

Hospital & facility affiliations

  • Mission Home Health LLC Home health agency, Pensacola, FL, CCN 687091
  • Peoples Home Health LLC Home health agency, Pensacola, FL, CCN 109664
  • Stat Home Health Florida Panhandle LLC Home health agency, Pensacola, FL, CCN 103138
  • Baptist Home Health Care Home health agency, Pensacola, FL, CCN 107006

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9267293FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Avenir Ventures, L.L.C. CurrentSince Jun 1, 2012 Accepting new patients
Beacon Medical LLC Adult Health CurrentSince Feb 1, 2018 Accepting new patients
Comfort Care Medical Group PA Adult Health Past Accepting new patients
Npoc LLC PastSince Apr 8, 2018 Accepting new patients
Avenir Ventures, L.L.C. PastSince Jun 1, 2012 Accepting new patients

Locations

5113 N Davis Hwy
Ste 1
Pensacola, FL 32503
Phone (850) 290-8410

45 Industrial Blvd
Ste C
Pensacola, FL 32503
Phone (251) 533-3509

236 W Garden St
Ste 4
Pensacola, FL 32502
Phone (850) 469-0020

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011

Interoperability endpoints

  • Direct secure messaging: beaconmedical.karenjackson@138123.advancedmd-direct.com

Organizations & group practices 5

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 4

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

NPI Registry JSON

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

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1124274774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 INDUSTRIAL BLVD STE C",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325037668",
            "telephone_number": "850-290-8410",
            "fax_number": "866-574-6391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 INDUSTRIAL BLVD STE C",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325037668",
            "telephone_number": "850-290-8410",
            "fax_number": "866-574-6391"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 Nicole Pl",
            "address_purpose": "LOCATION",
            "city": "Daphne",
            "state": "AL",
            "postal_code": "365267614",
            "country_code": "US",
            "telephone_number": "251-533-6372",
            "fax_number": "866-282-4895",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "KAREN",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-14",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN9287293",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "ARNP9287293",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-087343",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00720964",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.