Rhonda Gary Jackson, ARNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

ARNP2863432 Issued in FL

Practice address

10420 McKinley Dr Apt 9312
Tampa, FL 33612-6448

Phone

(813) 340-5499

Fax

(866) 404-2708

NPI assigned

Dec 19, 2012

Last updated

May 26, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Acuity Wound CareGroup PAC ID 4688108814, 6 clinicians

Integritynp, LLCGroup PAC ID 9830479054, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Enhabit Home Health Home health agency, Tampa, FL, CCN 109689

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: preventionandinterventionwoundcare.rhondajackson@149927.advancedmd-direct.com

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.

• Integritynp, LLC

  • Gerontology Nurse Practitioner
  • Wesley Chapel, FL
  • NPI 1730636820
  Medicare reassignment Care Compare group NPD
• Pi: Prevention and Intervention Wound Care and Dermatological Services

  • Nursing Care Agency
  • Tampa, FL
  • NPI 1396313110
  Medicare reassignment NPD Authorized official
• Acuity Wound Care

  • Nurse Practitioner
  • Spanish Fork, UT
  • NPI 1275350464

  FL

  Medicare reassignment Care Compare group NPD
• Brooks Management Inc

  • Clinical Medical Laboratory
  • Bradenton, FL
  • NPI 1699031880
  Medicare reassignment NPD
• MCR Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Parrish, FL
  • NPI 1255376000
  Medicare reassignment NPD
• Nautilus Health Care Group LLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Melbourne, FL
  • NPI 1912013558

  Nurse Practitioner

  Medicare reassignment NPD
• Post Acute Specialists of Florida PLLC

  • Internal Medicine Physician
  • Bradenton, FL
  • NPI 1992571608

  Nurse Practitioner

  Medicare reassignment NPD
• MCR Health, Inc.

  dba Riverside Medical Center

  • Non-Pharmacy Dispensing Site
  • Bradenton, FL
  • NPI 1821878745
  NPD
• Nautilus Health Care Group, LLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Kokomo, IN
  • NPI 1013234699
  NPD
• Advanced Wound Systems LLC

  • Durable Medical Equipment & Medical Supplies
  • St Petersburg, FL
  • NPI 1508054271
  NPD (past)
• Brooks Management

  • Dermatology Physician
  • Bradenton, FL
  • NPI 1093017774
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Eh Home Health of the Southeast, LLC

  dba Enhabit Home Health

  • Home Health Agency
  • Tampa, FL
  • NPI 1558777102
  Care Compare affiliation

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

{
    "created_epoch": "1355875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1861738817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10420 MCKINLEY DR APT 9312",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336126448",
            "telephone_number": "813-340-5499",
            "fax_number": "866-404-2708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10420 MCKINLEY DR APT 9312",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336126448",
            "telephone_number": "813-340-5499",
            "fax_number": "866-404-2708"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5220 Belfort Rd",
            "address_2": "Ste 130",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322566017",
            "country_code": "US",
            "telephone_number": "727-867-5480",
            "fax_number": "888-507-9833",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "703 Virginia St",
            "address_purpose": "LOCATION",
            "city": "Dunedin",
            "state": "FL",
            "postal_code": "34698",
            "country_code": "US",
            "telephone_number": "727-734-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "RHONDA",
        "middle_name": "GARY",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-19",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP2863432",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP2863432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latoya Jackson
• Leshandra Tiana Jackson
• Mark Jackson
• Mondrele Jackson
• Niaja Michelle Jackson, M.A.
• Shawanda Jackson, DENTAL HYGIENIST
• Shawntel Jackson
• Skyla Jackson
• Tameka Jackson
• Tarsheta Jackson

• Adult Health Nurse Practitioner in Tampa, FL
• Providers in Tampa, FL by specialty
• Adult Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; 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.

Verify at the official NPI Registry.