Jessica Christine Soares
Individual provider Active NPI Acute Care Nurse Practitioner · Old Town, FL
NPI 1629949342 · NPPES record last updated Dec 22, 2025
Key facts
- NPI
- 1629949342
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acute Care Nurse Practitioner 363LA2100X
- License
- 11042261 (FL)
- Practice address
- 55 NE 189TH Ave
Old Town, FL 32680-5285 - Phone
- (252) 665-0319
- NPI assigned
- Sep 16, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Florida Clinical Practice Association Inc
Practice addresses (Care Compare)
1600 SW Archer
Gainesville, FL 32610-3003
1600 SW Archer Rd
Gainesville, FL 32610-3003
1600 SW Archer Rd RM
1191 Uf Health Surgical Specialists Shands
Gainesville, FL 32610-3003
Phone (352) 265-0535
2000 SW Archer Rd
Uf Health Congenital Heart Center Medical P
Gainesville, FL 32610-3003
Phone (352) 265-8250
2001 SW 13TH St
Gainesville, FL 32608-1532
Phone (352) 265-8990
Uf Health Test Site Pop Up 1600 SW Ar
Gainesville, FL 32610-3003
Phone (352) 392-1161
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251230002855 | FL | Practitioner - Nurse Practitioner | 0840786745 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11042261 | FL | MD | Nurse Practitioner |
| 11042261 | FL | MD | Acute Care Nurse Practitioner |
Practice roles (2 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Clinical Practice Association Inc | Current |
Accepting new patients | |
| Florida Clinical Practice Association Inc | Current |
Accepting new patients |
Locations
2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990
1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN11042261 | FL | |
| Acute Care Nurse Practitioner | 363LA2100X | 11042261 | FL | Yes |
Addresses
Primary practice location
55 NE 189TH Ave
Old Town, FL 32680-5285
Mailing address
1600 SW Archer Rd
Gainesville, FL 32610-3003
Phone (352) 265-0301
Other practice location 1
1600 SW Archer Rd
Gainesville, FL 32610-3003
Phone (352) 265-0301
Other providers in Old Town, FL
- Old Town Pharmacy Inc
- Eileen Maureen Patterson
- Tess Rogers
- Lisa Lynn Rollison
- Susan Lee Rowe
- The Assessor Network, Inc.
- Patrice Jovita Santiago Vigilia-Abrenica
- Sara Dorothy Wegscheid
- Julie Williams
- Zenner and Zenner, P.a.
All providers in Old Town, FL · Acute Care Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 22, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.