Stephanie Jackson
NPI 1164019774 · Family Nurse Practitioner · Winter Haven, FL
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Stephanie Jackson is a Family Nurse Practitioner provider in Winter Haven, FL (NPI 1164019774).
Provider details
- NPI number
- 1164019774
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- RN9260330 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-12-29
- Last updated
- 2022-08-05
- Certified
- 2022-08-05
Frequently asked questions
- What is Stephanie Jackson's NPI number?
- Stephanie Jackson's National Provider Identifier (NPI) is 1164019774, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stephanie Jackson's specialty?
- Stephanie Jackson is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Stephanie Jackson located?
- Stephanie Jackson's practice location on file with NPPES is 199 Avenue B Nw, Winter Haven, FL 33881-4546.
- What is Stephanie Jackson's phone number?
- The practice phone number listed in the NPPES registry for Stephanie Jackson is (863) 293-1191.
- Does Stephanie Jackson accept Medicare?
- Stephanie Jackson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Stephanie Jackson's NPI active?
- Yes — Stephanie Jackson's NPI (1164019774) is active in the NPPES registry as of the last update on 2022-08-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.