Individual provider Active NPI

Jessica Lynn Kalarovich

  • Family Nurse Practitioner
  • Orange Park, FL
National Provider Identifier
1225526239
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9324344 Issued in FL
Practice address
2140 Kingsley Ave Ste 2
Orange Park, FL 32073-5129
Phone
(904) 375-1963
Fax
(904) 375-1614
NPI assigned
Apr 25, 2018
Last updated
Jul 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN9324344 FL Primary
Family Medicine Physician 207Q00000X APRN9324344 FL

Addresses

Primary practice location

2140 Kingsley Ave Ste 2
Orange Park, FL 32073-5129

Mailing address

2140 Kingsley Ave Ste 2
Orange Park, FL 32073-5129
Phone (904) 375-1963

Other practice location 1

865 Blanding Blvd
Orange Park, FL 32065-8917
Phone (239) 770-7974

Other identifiers 1

IdentifierTypeStateIssuer
122395700MedicaidFL

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
I20180905003872 FL Practitioner - Nurse Practitioner 2860742269 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Health First Privia Medical GroupGroup PAC ID 3173965993, 247 clinicians

Practice addresses (Care Compare)

140 6TH Ave
Indialantic, FL 32903-3204
Phone (321) 312-3501

2140 Kingsley Ave
Suite 2
Orange Park, FL 32073-5129

989 Sebastian Blvd
Unit 3
Sebastian, FL 32958-4879
Phone (727) 617-1777

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN9324344FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wakulla Urgent Care & Diagnostic Center PLC CurrentSince Jul 25, 2021 Accepting new patients
Solantic of Jacksonville, LLC Family Medicine CurrentSince Jan 1, 2021 Accepting new patients
Privia Medical Group Florida, LLC CurrentSince Aug 14, 2025 Accepting new patients
Clay Primary & Family Care LLC Family Medicine CurrentSince May 1, 2019 Accepting new patients
JK Health Systems, LLC Family Medicine CurrentSince Jun 1, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
1St Choice Urgent Care Center LLC Past Accepting new patients

Locations

41 Feli Way
Crawfordville, FL 32327
Phone (850) 879-7831

140 6th Ave
Indialantic, FL 32903
Phone (321) 312-3501

2401 Monument Rd
Jacksonville, FL 32225
Phone (904) 642-0337

5915 Normandy Blvd
Jacksonville, FL 32205
Phone (904) 378-0121

410 Atlantic Blvd
Neptune Beach, FL 32266
Phone (904) 241-0117

2140 Kingsley Ave
Orange Park, FL 32073
Phone (904) 213-0600

2140 Kingsley Ave
Ste 2
Orange Park, FL 32073
Phone (904) 375-1963

865 Blanding Blvd
Orange Park, FL 32065
Phone (904) 276-1133

989 Sebastian Blvd
Unit 3
Sebastian, FL 32958
Phone (727) 617-1777

463941 State Road 200
Yulee, FL 32097
Phone (904) 572-1959

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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": "1524614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1225526239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 KINGSLEY AVE STE 2",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735129",
            "telephone_number": "904-375-1963",
            "fax_number": "904-375-1614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 KINGSLEY AVE STE 2",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735129",
            "telephone_number": "904-375-1963",
            "fax_number": "904-375-1614"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "865 Blanding Blvd",
            "address_purpose": "LOCATION",
            "city": "Orange Park",
            "state": "FL",
            "postal_code": "320658917",
            "country_code": "US",
            "telephone_number": "239-770-7974",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KALAROVICH",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-25",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9324344",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "APRN9324344",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122395700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

Verify at the official NPI Registry.