Karen Jacobs, ARNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

9263103 Issued in FL

Practice address

203 Westmoreland Cir
Kissimmee, FL 34744-5463

Phone

(407) 348-8886

Fax

(407) 348-4486

NPI assigned

Jun 16, 2015

Last updated

Jun 16, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Pioneer Medical Group, PL

  • Internal Medicine Physician
  • Temple Terrace, FL
  • NPI 1710315775
  Medicare reassignment NPD
• Pulmonary Disease Specialists, PA

  • Pulmonary Disease Physician
  • Kissimmee, FL
  • NPI 1649484809
  Medicare reassignment NPD
• Osceola Internal Medicine Inc

  • Internal Medicine Physician
  • Kissimmee, FL
  • NPI 1295915932
  NPD (past)

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434412800000",
    "number": "1225419161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 WESTMORELAND CIR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347445463",
            "telephone_number": "407-348-8886",
            "fax_number": "407-348-4486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 WESTMORELAND CIR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347445463",
            "telephone_number": "407-348-8886",
            "fax_number": "407-348-4486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "KAREN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-16",
        "last_updated": "2015-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "9263103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bailey Jackson
• Billy Jackson
• Maureen Ann Jackson, PHARM. D
• Shynetra Jackson
• Brooke Jacobs, OTR/L, OTD
• Jennifer Jacques Lalanne, APRN
• Jeangardy Jacquet
• Susan H. Jacquot, D.D.S.
• Kawattie Jadoo
• Katie Anne Jadra, PHARMD

• Gerontology Nurse Practitioner in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Gerontology Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.