Individual provider Active NPI

Kimberly Cason Rogers, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1780026104
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN9169819 Issued in FL
Practice address
800 Prudential Dr
Jacksonville, FL 32207-8202
Phone
(904) 376-3800
NPI assigned
Jul 26, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN9169819 FL Primary
Adult Health Nurse Practitioner 363LA2200X 9169819 FL

Addresses

Primary practice location

800 Prudential Dr
Jacksonville, FL 32207-8202

Mailing address

PO Box 748519
Atlanta, GA 30374-8519
Phone (904) 376-3800

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
I20130925000384 FL Practitioner - Nurse Practitioner 0840434213 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Behavioral Health LLCGroup PAC ID 7315166394, 120 clinicians

Practice addresses (Care Compare)

800 Prudential Dr
Jacksonville, FL 32207-8202
Phone (904) 376-3800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN9169819FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Md2U Florida LLC CurrentSince Oct 7, 2013 Accepting new patients
Baptist Behavioral Health, LLC CurrentSince Mar 1, 2026 Accepting new patients
Sma Healthcare, Inc CurrentSince Nov 22, 2019 Accepting new patients
Sma Healthcare Inc CurrentSince Nov 22, 2019 Accepting new patients
Icats Management Integrated Care and Transition Services LLC PastSince Nov 18, 2013 Accepting new patients
Sma Healthcare Inc Past Accepting new patients

Locations

301 Justice Ln
Bunnell, FL 32110
Phone (386) 236-1726

1220 Willis Ave
Daytona Beach, FL 32114
Phone (386) 236-3200

1150 Red John Dr
Daytona Beach, FL 32124
Phone (386) 236-3183

150 Magnolia Ave
Daytona Beach, FL 32114
Phone (386) 236-3215

702 S Ridgewood Ave
Daytona Beach, FL 32114
Phone (386) 254-1262

3875 Tiger Bay Rd
Daytona Beach, FL 32124
Phone (386) 947-1328

356 Englenook Dr
Ste 142
Debary, FL 32713

105 W Calvin St
Deland, FL 32720
Phone (986) 254-1104

820 Prudential Dr
Ste 510
Jacksonville, FL 32207

800 Prudential Dr
Jacksonville, FL 32207
Phone (904) 202-2000

10151 Deerwood Park Blvd
Ste 200-250
Jacksonville, FL 32256
Phone (904) 704-2527

5664 SW 60th Ave
Ocala, FL 34474
Phone (352) 291-5555

330 Kay Larkin Dr
Palatka, FL 32177
Phone (386) 329-3780

1880 San Sebastian Vw
Ste 4201
St Augustine, FL 32084

Interoperability endpoints

  • Direct secure messaging: kimberly.rogers.p1@direct.smahealthcare.nextgenshare.com

Organizations & group practices 6

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": "1374796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1780026104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748519",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303748519",
            "telephone_number": "904-376-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 PRUDENTIAL DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078202",
            "telephone_number": "904-376-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "KIMBERLY",
        "middle_name": "CASON",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-26",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN9169819",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "9169819",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.