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Audrey Lee Farson Jackson , APRN

Nurse Practitioner - Primary Care β€’ Melbourne, FL

Active NPI 1114507332 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

1223 Gateway Dr Ste 1d
Melbourne, FL 329012607

Call 3217296166 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1223 Gateway Dr Ste 1d

Melbourne, FL 329012607

Telephone 3217296166
Fax 3217221237
Organization at the Same NPPES Address or Phone
Sunmed Group Llc Facility NPI 1093328163

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Palm Bay, FL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Health First Medical Group, Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2022

What Public CMS Data Show

Nurse Practitioner - Primary Care: NPPES taxonomy is a reported classification, not proof of board certification.

Open Payments general payments, program year 2025

All general payments: $1,373.34 across 11 records.

By nature of payment

  • Travel and Lodging: $966.62 across 5 records.
  • Food and Beverage: $306.72 across 5 records.
  • Education: $100.00 across 1 record.

Reporting-company totals (3 largest of 4)

  • INTUITIVE SURGICAL, INC.: $1,083.61 across 7 records.
  • Boston Scientific Corporation: $148.87 across 2 records.
  • Novo Nordisk Inc: $125.00 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

4 years (graduated 2022)

CMS Doctors and Clinicians data list 2022 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Audrey Jackson has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Audrey Jackson as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Melbourne and Florida

7 active clinicians are listed under Nurse Practitioner - Primary Care with a practice address in Melbourne, FL (1,087 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2025

Program year 2025 (payments made January 1 – December 31, 2025): 11 records totaling $1,373.34.

Manufacturer Payment Nature Product Type Amount ($)
INTUITIVE SURGICAL, INC.
Travel and Lodging
In-kind items and services
Da Vinci Surgical System General $487.65
INTUITIVE SURGICAL, INC.
Travel and Lodging
In-kind items and services
Da Vinci Surgical System General $162.97
INTUITIVE SURGICAL, INC.
Travel and Lodging
In-kind items and services
Da Vinci Surgical System General $143.00
INTUITIVE SURGICAL, INC.
Travel and Lodging
In-kind items and services
Da Vinci Surgical System General $143.00
Novo Nordisk Inc
Food and Beverage
In-kind items and services
Ozempic General $125.00
Boston Scientific Corporation
Food and Beverage
In-kind items and services
AVVIGO Guidance System General $107.54
INTUITIVE SURGICAL, INC.
Education
In-kind items and services
DAVINCI XI General $100.00
Boston Scientific Corporation
Food and Beverage
In-kind items and services
AVVIGO Guidance System General $41.33
INTUITIVE SURGICAL, INC.
Travel and Lodging
In-kind items and services
Da Vinci Surgical System General $30.00
INTUITIVE SURGICAL, INC.
Food and Beverage
In-kind items and services
Da Vinci Surgical System General $16.99
Shockwave Medical, Inc
Food and Beverage
In-kind items and services
Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter General $15.86

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-02-09
Nurse Practitioner - Primary Care Primary Specialty

NUCC Taxonomy Code: 363LP2300X

License # reported to NPPES FL APRN11026952
Nurse Practitioner - Obstetrics & Gynecology

NUCC Taxonomy Code: 363LX0001X

License # reported to NPPES FL APRN11026952
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
120782400 (FL)
Other Identifier Medicare Hf
SA065 (FL)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20240103003953

Enrollment State Jurisdiction

FL

PECOS Control ID

7810348828

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Health First Medical Group, Llc

1223 Gateway Dr, Melbourne, FL 329012607

Phone: 3217254500

Secondary Practice Locations

3425 Bayside Lakes Blvd Se Ste 110

Palm Bay, FL 329096867

Phone: 3217296166

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

9 listed
Dr. Marshall Bovelsky , MD

Obstetrics & Gynecology - Gynecology

NPI 1790730646

Doctor of Medicine (M.D.)

Dr. Natalia Camacho , MD

Obstetrics & Gynecology

NPI 1164559449

Doctor of Medicine (M.D.)

Dr. Pascale Duroseau , MD

Obstetrics & Gynecology

NPI 1336206499

Doctor of Medicine (M.D.)

Christi Forster , FNP-BC

Nurse Practitioner - Family

NPI 1396359568

Family Nurse Practitioner (Board Certified)

Dr. Anastasia Hawkins , DO

Obstetrics & Gynecology

NPI 1972939437

Doctor of Osteopathic Medicine (D.O.)

Dr. Diane Kelly , MD

Obstetrics & Gynecology - Obstetrics

NPI 1932190600

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location January 03, 2024

Registered at 1223 GATEWAY DR STE 1D, MELBOURNE, FL 329012607 (Tel: 3217296166)

πŸ“
Updated Business Mailing Address January 03, 2024

Registered at 3300 S FISKE BLVD, ROCKLEDGE, FL 329554306 (Tel: 3217296166)

πŸ‘€
Provider Name / Credentials Updated January 03, 2024

Recorded as AUDREY JACKSON, APRN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 03, 2024

Nurse Practitioner (license number reported to NPPES: FL APRN11026952)

βœ…
NPI Profile Active April 12, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 12, 2021

Registered at 5352 LINTON BLVD, DELRAY BEACH, FL 334846514 (Tel: 3216154889)

πŸ“
Business Mailing Address (Initial Record) April 12, 2021

Registered at 5352 LINTON BLVD, DELRAY BEACH, FL 334846514 (Tel: 3216154889)

πŸ‘€
Provider Name / Credentials (Initial Record) April 12, 2021

Recorded as AUDREY JACKSON, RN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 12, 2021

Registered Nurse (license number reported to NPPES: FL RN9469275)

🟒
Initial NPI Registration & Enumeration April 12, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1114507332
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 12, 2021
Last Update: February 09, 2024
Sole Proprietor: Yes

Other Nurse Practitioner - Primary Care Specialists in Melbourne

Healthcare providers in Melbourne

Mailing Address

3300 S Fiske Blvd

Rockledge, FL 329554306

Phone: 3217296166

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.