STEFANIE M JACKSON (ARNP) – Nurse Practitioner, NPI 1346204427
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
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Provider Addresses for STEFANIE M JACKSON (ARNP)
1289, Southwest State Road 47, Columbia County, Florida, 32025, United States
LAKE CITY, FL 320250484
Phone: (386) 755-0421
Fax: (386) 487-1234
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 103 Open Payments records for all available years, with a total value of $1,664.
Total Amount is formed as General ($1,664) + Research ($0) + Ownership ($0) = $1,664.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Novo Nordisk Inc ($528).
Total Amount
$1,664
General + Research + Ownership
Payments
103
Total payment records
General Amount
$1,664
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $528 |
| Amgen Inc. | $157 |
| PFIZER INC. | $142 |
| Lilly USA, LLC | $69 |
| GlaxoSmithKline, LLC. | $65 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2006-09-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060906000015 | I | Nurse Practitioner | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 47 | 43 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 41 | 39 | $0 |
| 80048 | Blood test, basic group of blood chemicals (calcium, total) | 29 | 28 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 21 | 21 | $0 |
| 83735 | Magnesium level | 14 | 14 | $0 |
Insurance plans in this area (ZIP 32025)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Internal Medicine, Critical Care (Intensivists) | FL | |
| Nurse Practitioner | FL |
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