Jarrett Hayles-Patterson, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11037184 Issued in FL

Practice address

831 Simpson Rd
Kissimmee, FL 34744-5328

Phone

(407) 483-5757

Fax

(855) 642-2122

NPI assigned

May 10, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, FL2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kopa LLCGroup PAC ID 5193774461, 40 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1369/brand/1/csg/1/fhir/r4

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.

• Kopa LLC

  • Multi-Specialty Clinic/Center
  • Orlando, FL
  • NPI 1417021114
  Medicare reassignment Care Compare group NPD
• Lifetime Family Medicine,LLC

  • Family Medicine Physician
  • Dallas, GA
  • NPI 1053509216
  Medicare reassignment NPD
• Peachtree Immediate Care FP, LLC

  • Family Medicine Physician
  • Hiram, GA
  • NPI 1437194156
  Medicare reassignment NPD
• Temple Medical LLC

  dba TempleMed Health

  • Family Medicine Physician
  • Villa Rica, GA
  • NPI 1740406438
  NPD (past)

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

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785542400000",
    "number": "1902542152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3632 CORD AVE",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347728033",
            "telephone_number": "973-508-9572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 SIMPSON RD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347445328",
            "telephone_number": "407-483-5757",
            "fax_number": "855-642-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYLES-PATTERSON",
        "first_name": "JARRETT",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-10",
        "last_updated": "2026-08-01",
        "certification_date": "2026-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11037184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mala Hathiramani, MA CFY-SLP
• Firas Hatoum
• Laura Haughton, LAURA
• Maria A Hawkins, MS
• Shaun Hawkins, M.A., BCBA
• Damien Haynes, PHARMD
• Dawna Nichole Hazelwood, APRN AGACNP-BC
• Yinong He, APRN
• Healing at Home Visiting Physicians
• Healing Haven Center, LLC

• Family Nurse Practitioner in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.

Verify at the official NPI Registry.