Audrey Jackson, APRN
Audrey Jackson, APRN is a Primary Care Nurse Practitioner in Melbourne, FL, registered under NPI 1114507332. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
The practice address on file is 1223 GATEWAY DR STE 1D, Melbourne, FL 32901. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| APRN11026952 | FL | Primary Care Nurse Practitioner primary |
| APRN11026952 | FL | Obstetrics & Gynecology Nurse Practitioner |
This provider holds licence APRN11026952 issued in FL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Nurse Practitioner
- PAC ID
- 7810348828
Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Primary Care covers
Definition to come... NUCC Health Care Provider Taxonomy, code 363LP2300X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 363LP2300X | Primary Care Nurse Practitioner Primary Care | APRN11026952 | FL | primary |
| 363LX0001X | Obstetrics & Gynecology Nurse Practitioner Obstetrics & Gynecology | APRN11026952 | FL |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1114507332 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Apr 12, 2021 |
| Last updated | Feb 9, 2024 |
| Status | Active |
| Sole proprietor | Yes |
| Credential | APRN |
| Practice address |
1223 GATEWAY DR STE 1D Melbourne, FL 32901 (321) 729-6166 Fax (321) 722-1237 |
| Mailing address |
3300 S FISKE BLVD Rockledge, FL 32955 |
| Other identifiers |
SA065
· MEDICARE HF (FL) 120782400 (FL) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 1 | 4 | 5 | 0 | 7 | 3 | 3 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 2 | 4 | 1 | 0 | 5 | 3 | 6 |
Sum = 48 · next multiple of 10 = 50 · check digit = 2 · actual last digit = 2
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.