Kimcheree Jackson, - Medicare Nurse Practitioner in Sanford, FL

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Kimcheree Jackson, is a medicare enrolled "Nurse Practitioner" in Sanford, Florida. She graduated from nursing school in 2014 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Upperline Healthcare Pc and her current practice location is 4930 E Lake Mary Blvd, Sanford, Florida. You can reach out to her office (for appointments etc.) via phone at (407) 322-8645.

Kimcheree Jackson is licensed to practice in Florida (license number ARNP9250679) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1083093355.

Contact Information

Kimcheree Jackson,
4930 E Lake Mary Blvd,
Sanford, FL 32771-5003
(407) 322-8645
Not Available

Map and Direction




Provider's Profile

Full NameKimcheree Jackson
GenderFemale
SpecialityNurse Practitioner
Experience12 Years
Location4930 E Lake Mary Blvd, Sanford, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kimcheree Jackson graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1083093355
  • Provider Enumeration Date: 05/20/2015
  • Last Update Date: 04/30/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 6103123823
  • Enrollment ID: I20160324000081

Medical Identifiers

Medical identifiers for Kimcheree Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083093355NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner ARNP9250679 (Florida)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Upperline Healthcare Pc4385900653194

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kimcheree Jackson allows following entities to bill medicare on her behalf.
Entity NamePascarella Hoover Finkelstein & Wagner DPM PA
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740275635
PECOS PAC ID: 9436235645
Enrollment ID: O20081231000035
Entity NameUpperline Healthcare PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538686498
PECOS PAC ID: 4385900653
Enrollment ID: O20201109001904
Entity NameAdcs Care Management 2 Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770466724
PECOS PAC ID: 6800399403
Enrollment ID: O20250910003495
Entity NameAdcs Care Management 1 Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609759653
PECOS PAC ID: 5395247316
Enrollment ID: O20250918001959

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimcheree Jackson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kimcheree Jackson,
4930 E Lake Mary Blvd,
Sanford, FL 32771-5003

Ph: (407) 322-8645		Kimcheree Jackson,
4930 E Lake Mary Blvd,
Sanford, FL 32771-5003

Ph: (407) 322-8645

Reviews and Comments


Nurse Practitioner Nurses in Sanford, FL

Camita Charite, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 401 Towne Center Blvd, Sanford, FL 32771
Phone: 407-200-0547    Fax: 407-205-0803
Chris Senny Sanchez Del Campo, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2078 Apalachicola Ln, Sanford, FL 32771
Phone: 786-328-3134    
Jill Christine Kornegay, ARNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2400 Sr 415, Sanford, FL 32771
Phone: 407-322-8645    Fax: 407-322-8725
Mrs. Linda Jan Carlson, ARNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 5467 Ronald Reagan Blvd, Sanford, FL 32773
Phone: 407-324-3036    Fax: 407-324-3045
Patricia Anne Bartholomew, RN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 919 E 2nd St, Sanford, FL 32771
Phone: 407-875-3700    
Arden Monroe-obermeit,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 5467 Ronald Reagan Blvd, Sanford, FL 32773
Phone: 407-324-3036    
Simone Harris, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4930 E Lake Mary Blvd, Sanford, FL 32771
Phone: 407-322-8645    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.