Individual provider Active NPI

Jani C Wilkerson, D.O.

  • Psychiatry Physician
  • Jacksonville, FL
National Provider Identifier
1720306970
Registry record updated Oct 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
OS 13451 Issued in FL
Practice address
820 Prudential Dr Ste 510
Jacksonville, FL 32207
Phone
(904) 376-3800
Fax
(904) 376-3998
NPI assigned
May 12, 2010
Last updated
Oct 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X W4726 TX
Psychiatry Physician 2084P0800X OS 13451 FL Primary
Psychiatry Physician 2084P0800X 02008968A IN

Addresses

Primary practice location

820 Prudential Dr Ste 510
Jacksonville, FL 32207

Mailing address

PO Box 44230
Jacksonville, FL 32231-4230
Phone (904) 376-3800

Other practice location 1

6565 Fannin St Ste 300
Houston, TX 77030-2703
Phone (832) 667-5301

Other practice location 2

1169 Autumn Pines Dr
Orange Park, FL 32065-2692
Phone (904) 505-3277

Other practice location 3

1701 S Creasy Ln
Lafayette, IN 47905-4972
Phone (765) 502-4866

Other practice location 4

1169 Autumn Pines Dr
Orange Park, FL 32065-2692
Phone (904) 505-3277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, IN, WV3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20161129000440 FL Practitioner - Psychiatry 9335429836 Reassigns benefits to 5 organizations
I20260427001898 IN Practitioner - Psychiatry 9335429836 Reassigns benefits to 1 organization
I20260611002112 WV Practitioner - Psychiatry 9335429836 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

930 Chestnut Ridge Rd
Morgantown, WV 26505-2854

PO Box
Morgantown, WV 26507

PO Box
Suite 781076
Detroit, MI 48278

Merit-based Incentive Payment System (MIPS)

Final score
85.52 of 100Reported as group
Quality
78.57
Promoting interoperability
99
Improvement activities
40
Cost
74

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS 13451FLMDPsychiatry Physician
02008968AINMDPsychiatry Physician
W4726TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatry of Texas PLLC Psychiatry CurrentSince Dec 20, 2024 Accepting new patients
Florida Department of Children and Families CurrentSince Jul 1, 2024 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Jan 23, 2017 Accepting new patients
Psychplus Medical Associates, PLLC Psychiatry CurrentSince Dec 20, 2024 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Jan 23, 2017 Accepting new patients
Florida Department of Children and Families Current Accepting new patients
Psychiatry Services of Osceola LLC Psychiatry CurrentSince Oct 4, 2016 Accepting new patients
Southern Baptist Hospital of Florida Inc Past Accepting new patients

Locations

250 2nd St E
Ste 4C
Bradenton, FL 34208
Phone (941) 744-5860

6700 Winkler Rd
Ste 4
Fort Myers, FL 33919
Phone 8328694818 ext. 235

700 W Oak St
Kissimmee, FL 34741
Phone (407) 518-3553

700 W Oak St
#A
Kissimmee, FL 34741
Phone (407) 847-0113

455 W Warren Ave
Longwood, FL 32750
Phone (407) 260-0551

7487 S State Road 121
Macclenny, FL 32063
Phone (904) 259-6211

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

5995 SE Community Dr
Stuart, FL 34997
Phone (727) 424-3427

4700 N Habana Ave
Ste 601
Tampa, FL 33614
Phone (201) 706-1143

7877 Willow Chase Blvd
Houston, TX 77070
Phone 8328694818109

Interoperability endpoints

  • Direct secure messaging: jani.wilkerson@hca4.eclinicaldirectplus.com

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1273622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791417600000",
    "number": "1720306970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 44230",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322314230",
            "telephone_number": "904-376-3800",
            "fax_number": "904-376-3998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 PRUDENTIAL DR STE 510",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32207",
            "telephone_number": "904-376-3800",
            "fax_number": "904-376-3998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6565 Fannin St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770302703",
            "country_code": "US",
            "telephone_number": "832-667-5301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1169 Autumn Pines Dr",
            "address_purpose": "LOCATION",
            "city": "Orange Park",
            "state": "FL",
            "postal_code": "320652692",
            "country_code": "US",
            "telephone_number": "904-505-3277",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1701 S Creasy Ln",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "IN",
            "postal_code": "479054972",
            "country_code": "US",
            "telephone_number": "765-502-4866",
            "fax_number": "765-502-4401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1169 Autumn Pines Dr",
            "address_purpose": "LOCATION",
            "city": "Orange Park",
            "state": "FL",
            "postal_code": "320652692",
            "country_code": "US",
            "telephone_number": "904-505-3277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILKERSON",
        "first_name": "JANI",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-12",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "W4726",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "OS 13451",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "02008968A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.