Active NPI
Kimberly Cason Rogers, ARNP
- Psychiatric/Mental Health Nurse Practitioner
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APRN9169819
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| APRN9169819 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Md2U Florida LLC | Current | Accepting new patients | |
| Baptist Behavioral Health, LLC | Current | Accepting new patients | |
| Sma Healthcare, Inc | Current | Accepting new patients | |
| Sma Healthcare Inc | Current | Accepting new patients | |
| Icats Management Integrated Care and Transition Services LLC | Past | 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
- 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.
-
- Professional Counselor
- Jacksonville, FL
- NPI 1215906649
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Daytona Beach, FL
- NPI 1356329163
-
- Gerontology Nurse Practitioner
- Jacksonville, FL
- NPI 1235422775
-
- Federally Qualified Health Center (FQHC)
- Daytona Beach, FL
- NPI 1255950168
-
- Psychiatric Hospital
- Daytona Beach, FL
- NPI 1750369666
-
dba ICATS Mangement
- Internal Medicine Physician
- Louisville, KY
- NPI 1033559240
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; 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.