Yuleidy Russinyol Jaime, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11033444 Issued in FL

Practice address

2626 Tampa Rd Ste 104
Palm Harbor, FL 34684-3110

Phone

(727) 781-5811

Fax

(727) 781-5613

NPI assigned

Jun 17, 2024

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nova Medical Services - Dermatology Division LLCGroup PAC ID 1850771916, 15 clinicians

Nova Medical Services - Wound Care Division LLCGroup PAC ID 6709280324, 35 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ms_yrussiny@landmarkhealth-direct.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nova Medical Services - Dermatology Division LLC

  • Dermatology Physician
  • Miami, FL
  • NPI 1861137655
  Medicare reassignment Care Compare group NPD
• Nova Medical Services - Wound Care Division LLC

  • Family Medicine Physician
  • Miami, FL
  • NPI 1578145793
  Medicare reassignment Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1718582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1043053200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 PINEHURST DR",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346063833",
            "telephone_number": "352-277-5348",
            "fax_number": "352-606-2857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 TAMPA RD STE 104",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843110",
            "telephone_number": "727-781-5811",
            "fax_number": "727-781-5613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSINYOL JAIME",
        "first_name": "YULEIDY",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-17",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11033444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krystal A Rusch, MSW, LCSW
• James Andrew Rush, MEDICAL DOCTOR
• Les D. Ruskin, D.C.
• Tara M Rusoff, O.D.
• Rachel Russell, APRN
• Connie Jo Russo, LMT
• David Scott Russo
• Sarah Louise Russo
• Hugh Alexander Rutledge, M.D.
• Austin Kendall Ryan, PT, DPT, OCS

• Family Nurse Practitioner in Palm Harbor, FL
• Providers in Palm Harbor, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.