Individual provider Active NPI

Karin Jurkovicova

  • Adult Health Nurse Practitioner
  • Haines City, FL
National Provider Identifier
1689543332
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN11040790 Issued in FL
Practice address
1205 Dr Martin L King Jr Way
Haines City, FL 33844-3490
Phone
(863) 438-2752
NPI assigned
Oct 31, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2200X APRN11040790 FL Primary

Addresses

Primary practice location

1205 Dr Martin L King Jr Way
Haines City, FL 33844-3490

Mailing address

1479 Ashdown CT
Sanford, FL 32771-8081
Phone (863) 353-6853

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
I20260406003218 FL Practitioner - Nurse Practitioner 0941775191 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8260 W Flager St
Suite 2 I
Miami, FL 33144-2069

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11040790FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Parkview Outreach Community Center PastSince Nov 8, 2025 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26688/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1761868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1689543332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1479 ASHDOWN CT",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327718081",
            "telephone_number": "863-353-6853",
            "fax_number": "863-438-2752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 DR MARTIN L KING JR WAY",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338443490",
            "telephone_number": "863-438-2752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JURKOVICOVA",
        "first_name": "KARIN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-10-31",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11040790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haines City, FL

Sources for this page

Verify at the official NPI Registry.