Active NPI
Ajitha Jickson
- Primary Care Nurse Practitioner
- Ocala, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 1102670
- Practice address
- 2553 E Silver Springs Blvd
Ocala, FL 34470-7009 - Phone
- (352) 732-6599
- NPI assigned
- Jun 9, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 1102670 | FL | Primary |
Addresses
Primary practice location
2553 E Silver Springs Blvd
Ocala, FL 34470-7009
Mailing address
2553 E Silver Springs Blvd
Ocala, FL 34470-7009
Phone (352) 732-6599
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cora Health Services Inc
Practice addresses (Care Compare)
2700 Healing Way
Wesley Chapel, FL 33543-5453
3845 SE Lake Weir Ave
Cora Physical Therapy East Ocala
Ocala, FL 34480-9153
Phone (352) 693-3378
8449 SW Hwy 200
Suite 141
Ocala, FL 34481-9695
Phone (352) 693-3378
8550 NE 138TH LN
Suite 401
Lady Lake, FL 32159-8957
Phone (352) 674-4136
Hospital & facility affiliations
- Adventhealth Ocala
- Adventhealth Tampa
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1102670 | FL | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Physician Group Inc | Current | Accepting new patients | |
| Heart of Florida Health Center, Inc | Current | Accepting new patients | |
| Florida Rehab Specialists, PLLC | Current | Accepting new patients | |
| Heart of Florida Health Center Inc | Current | Accepting new patients | |
| Islf-Deerwood Place-Jacksonville LLC | Past | Accepting new patients |
Locations (25 of 112)
1130 NW 15th St
Boca Raton, FL 33486
Phone (561) 394-6282
7900 Venture Center Way
Boynton Beach, FL 33437
Phone (561) 330-0111
1445 Howell Ave
Brooksville, FL 34601
Phone (352) 799-1451
10845 W Gem St
Crystal River, FL 34428
Phone (352) 794-7601
22900 Lyden Dr
Estero, FL 33928
Phone (239) 221-6120
4000 SW 20th Ave
Gainesville, FL 32607
Phone (352) 377-1981
1000 SW 16th Ave
Gainesville, FL 32601
Phone (352) 376-2461
6700 NW 10th Pl
Gainesville, FL 32605
Phone (352) 240-6402
817 NW 56th Ter
Ste B
Gainesville, FL 32605
Phone (352) 331-7771
1415 Fort Clarke Blvd
Gainesville, FL 32606
Phone (352) 325-3081
4607 NW 53rd Ave
Gainesville, FL 32653
Phone (352) 376-5151
4842 SW Archer Rd
Gainesville, FL 32608
Phone (352) 367-9700
8000 NW 27th Blvd
Gainesville, FL 32606
Phone (352) 373-4032
3250 SW 41st Pl
Gainesville, FL 32608
Phone (352) 378-1558
227 SW 62nd Blvd
Gainesville, FL 32607
Phone (352) 331-0601
6500 W Newberry Rd
Gainesville, FL 32605
Phone (352) 333-4180
124 W Norvell Bryant Hwy
Hernando, FL 34442
Phone (352) 249-3100
23301 NW 186th Ave
High Springs, FL 32643
Phone (386) 454-0801
8985 S Suncoast Blvd
Homosassa, FL 34446
Phone (352) 697-0705
1894 South Patrick Dr
Indian Harbour Beach, FL 32937
Phone (321) 777-8840
701 Medical Ct E
Inverness, FL 34452
Phone (352) 860-0200
1745 Forest Dr
Inverness, FL 34453
Phone (352) 726-5466
12645 Salina Dr
Jacksonville, FL 32246
Phone (904) 787-8150
4813 Lenoir Ave
Jacksonville, FL 32216
Phone (904) 332-1608
2802 Parental Home Rd
Jacksonville, FL 32216
Phone (904) 721-0088
Interoperability endpoints
- ajickson5279526@adventhealth.direct-ci.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.
-
- Family Medicine Physician
- Tampa, FL
- NPI 1174955256
-
- Adult Medicine Physician
- Williston, FL
- NPI 1447941984
-
- Federally Qualified Health Center (FQHC)
- Ocala, FL
- NPI 1710923727
-
- Federally Qualified Health Center (FQHC)
- Ocala, FL
- NPI 1457755951
-
- Skilled Nursing Facility
- Jacksonville, FL
- NPI 1548264096
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ocala, FL
- NPI 1740772268
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1053321919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706745600000",
"number": "1437833688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2553 E SILVER SPRINGS BLVD",
"city": "OCALA",
"state": "FL",
"postal_code": "344707009",
"telephone_number": "352-732-6599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2553 E SILVER SPRINGS BLVD",
"city": "OCALA",
"state": "FL",
"postal_code": "344707009",
"telephone_number": "352-732-6599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JICKSON",
"first_name": "AJITHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-09",
"last_updated": "2024-02-01",
"certification_date": "2024-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "FL",
"license": "1102670",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ocala, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.