CAROLINA JONES ARNP
NPI 1457788333
Nurse Practitioner - Family in Winter Haven, FL
NPI Status: Active since October 09, 2013
Contact Information
1514 1ST ST N
WINTER HAVEN, FL
ZIP 33881
Phone: (863) 291-5110
Fax: (863) 291-5128
- Individual
- Female
- Nurse Practitioner
- Family
- Accepts Insurance
- PECOS Enrolled
- Opted-Out Medicare
About CAROLINA JONES
This page provides the complete NPI Profile along with additional information for Carolina Jones, a provider established in Winter Haven, Florida with a medical specialization in Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1457788333 assigned on October 2013. The practitioner's primary taxonomy code is 363LF0000X with license number ARNP9300073 (FL). The provider is registered as an individual and her NPI record was last updated 7 years ago.
- NPI
- 1457788333
- Provider Name
- CAROLINA JONES ARNP
- Other Name
- CAROLINA CELIS
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1514 1ST ST N WINTER HAVEN, FL 33881
- Location Phone
- (863) 291-5110
- Location Fax
- (863) 291-5128
- Mailing Address
- 4104 W LINEBAUGH AVE TAMPA, FL 33624
- Mailing Phone
- (813) 229-2225
- Mailing Fax
- (863) 291-5128
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-09-2013
- Last Update Date
- 01-19-2018
- Code Navigator
A nurse practitioner (NP) like Carolina Jones is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Carolina Jones opted out of Medicare effective on 10-01-2022 until 10-01-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- ARNP9300073
- License State
- FL
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 4 - HMO
- Bronze 8 - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
- Silver 9 - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 009805100 | MEDICAID (05) | FL |
Medicare Participation & PECOS Enrollment Status
Carolina Jones is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 10-01-2022
Opt-Out End Date: 10-01-2026
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 33881 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $87.62
- Minimum New Patient Price $56
- Maximum New Patient Price $171.84
- Average New Patient Copayment $21.9
- Minimum New Patient Copayment $14
- Maximum New Patient Copayment $42.96
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $99.16
- Minimum Established Patient Price $17.57
- Maximum Established Patient Price $139.16
- Average Established Patient Copayment $24.79
- Minimum Established Patient Copayment $4.39
- Maximum Established Patient Copayment $34.79
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for CAROLINA JONES ARNP
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 5 | 7 | 7 | 8 | 8 | 3 | 3 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 10 | 7 | 14 | 8 | 16 | 3 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 0 + 7 + 1 + 4 + 8 + 1 + 6 + 3 + 6 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1457788333 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1144666082 | KELLY LEIGH LOVE ARNP Individual | Nurse Practitioner (Family) | 1514 1ST ST N WINTER HAVEN, FL 33881 (863) 292-4280 |
| 1437565413 | STEPHANIE AHLGREN RD Individual | Dietitian, Registered | 1514 1ST ST N WINTER HAVEN, FL 33881 (863) 292-4280 |
| 1972951390 | RONALD DENNIS LUND RDN Individual | Dietitian, Registered | 1514 1ST ST N WINTER HAVEN, FL 33881 (863) 291-5110 |
| 1336591577 | ANJELIKA MARTI BAGDASAROV DMD Individual | Dentist (General Practice) | 1514 1ST ST N WINTER HAVEN, FL 33881 (863) 292-4280 |
| 1588830764 | SUSAN JENNEY WAID ARNP Individual | Advanced Practice Midwife | 1514 1ST ST N WINTER HAVEN, FL 33881 (863) 292-4280 |
| 1679774426 | MR. LUIS F CONGOTE DDS Individual | Dentist (General Practice) | 1514 1ST ST N WINTER HAVEN, FL 33881 (863) 291-5110 |
| 1356622310 | DR. KAEANNA ALLANA RUNCIE PHARMD Individual | Pharmacist | 1514 1ST ST N WINTER HAVEN, FL 33881 (863) 292-4281 |
| 1891833620 | MRS. MARLA L COELLO DMD Individual | Dentist (General Practice) | 1514 1ST ST N WINTER HAVEN, FL 33881 (863) 292-4280 |
| 1669503280 | DR. ROBERT GELLER D.M.D. Individual | Dentist (General Practice) | 1514 1ST ST N WINTER HAVEN, FL 33881 (863) 292-4280 |
| 1689159402 | RON PICKOS Individual | Pharmacist | 1514 1ST ST N WINTER HAVEN, FL 33881 (863) 292-4280 |
| 1689620338 | MR. LUIS ALBERTO ORDONEZ D.D.S. Individual | Dentist | 1514 1ST ST N WINTER HAVEN, FL 33881 (863) 292-4280 |
| 1932508405 | DR. JOSEPH LOUIS HACKSTIE DMD Individual | Dentist (General Practice) | 1514 1ST ST N WINTER HAVEN, FL 33881 (863) 292-4280 |
| 1467752998 | CENTRAL FLORIDA HEALTH CARE INC Organization | Clinic/Center (Federally Qualified Health Center (FQHC)) | 1514 1ST ST N WINTER HAVEN, FL 33881 (863) 452-3000 |
| 1659623023 | CENTRAL FLORIDA HEALTH CARE, INC. Organization | Clinic/Center (Multi-Specialty) | 1514 1ST ST N WINTER HAVEN, FL 33881 (863) 292-4280 |
| 1013943265 | ARNOLD EPEL MD Individual | Family Medicine | 1514 1ST ST N WINTER HAVEN, FL 33881 (863) 292-4280 |
| 1659837078 | LINDSEY ANN GRYCH APRN Individual | Nurse Practitioner (Family) | 1514 1ST ST N WINTER HAVEN, FL 33881 (866) 234-8534 |
| 1316536345 | MONA SUE MCDOWELL APRN Individual | Nurse Practitioner (Family) | 1514 1ST ST N WINTER HAVEN, FL 33881 (866) 234-8534 |
| 1225414907 | DR. MARIE CLAIRE NAGIB DMD Individual | Dentist | 1514 1ST ST N WINTER HAVEN, FL 33881 (866) 234-8534 |
| 1053967638 | DR. FRANCIN JEAN BAPTISTE MD Individual | General Practice | 1514 1ST ST N WINTER HAVEN, FL 33881 (866) 234-8534 |
| 1235803693 | CENTRAL FLORIDA HEALTH CARE, INC. Organization | Dentist | 1514 1ST ST N WINTER HAVEN, FL 33881 (866) 234-8534 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1457788333, enumerated in the NPI registry as an "individual" on October 09, 2013
The provider is located at 1514 1st St N Winter Haven, Fl 33881 and the phone number is (863) 291-5110
The provider's speciality is Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family
The provider might be accepting Accepts: Molina Healthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $87.62 with an average copayment of $21.9 for new patient appointments. Established patients should expect a typical charge of $99.16 and an average copayment of 24.79. Please review your insurance plan or contact the provider directly to determine your specific costs.
No, the provider signed an affidavit on October 01, 2022 to opt-out of the Medicare program. The provider is excluded from the Medicare program until October 01, 2026.
This NPI record was last updated on October 09, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.