Active NPI
Jessica Kaprive, DO
- MOHS-Micrographic Surgery Physician
- Port St Lucie, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- License
- OS23093
- Practice address
- 1400 SE Goldtree Dr Ste 107
Port St Lucie, FL 34952-7582 - Phone
- (772) 335-3550
- Fax
- (772) 337-4113
- NPI assigned
- Mar 23, 2021
- Last updated
- Aug 1, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | OS23093 | FL | |
| MOHS-Micrographic Surgery Physician | 207ND0101X | OS23093 | FL | Primary |
Addresses
Primary practice location
1400 SE Goldtree Dr Ste 107
Port St Lucie, FL 34952-7582
Mailing address
900 Village Square Xing Ste 290
Palm Beach Gardens, FL 33410-4552
Phone (239) 313-2517
Other practice location 1
2601 S Kanner Hwy
Stuart, FL 34994-4622
Phone (772) 219-2777
Other practice location 2
264 NW Peacock Blvd Ste 202
Port St Lucie, FL 34986-2272
Phone (772) 871-1682
Other names 1
- Jessica Forbes Kaprive
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Micrographic Dermatologic Surgery (MDS)
- Education
- Nova Southeastern College of Osteo Medicine, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
5220 Summerlin Commons Blvd
FL 4
Fort Myers, FL 33907-2149
900 Village Square Xing
Suite 290
Palm Beach Gardens, FL 33410-4547
945 Canyon Ridge Rd
Apt 304
Blacksburg, VA 24060-1197
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS23093 | FL | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aqua Dermatology of Florida, PA | Dermatology | Current | Accepting new patients |
| Naples Center for Dermatology & Riverchase Dermatology | Current | Accepting new patients |
Locations
1015 Crosspointe Dr
Naples, FL 34110
Phone (239) 596-9075
1400 SE Goldtree Dr
Ste 107
Port St Lucie, FL 34952
Phone (772) 217-6551
264 NW Peacock Blvd
Ste 202
Port St Lucie, FL 34986
Phone (772) 871-1682
2601 S Kanner Hwy
Stuart, FL 34994
Phone (772) 217-6829
900 Village Square Xing
Ste 290
West Palm Beach, FL 33410
Phone (239) 313-2517
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Gardens Plastic Surgery
- Dermatology Physician
- Palm Beach Gardens, FL
- NPI 1538270335
-
dba Riverchase Dermatology
- Durable Medical Equipment & Medical Supplies
- Cape Coral, FL
- NPI 1538645775
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785542400000",
"number": "1053997601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 VILLAGE SQUARE XING STE 290",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334104552",
"telephone_number": "239-313-2517",
"fax_number": "239-313-2555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 SE GOLDTREE DR STE 107",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349527582",
"telephone_number": "772-335-3550",
"fax_number": "772-337-4113"
}
],
"practiceLocations": [
{
"address_1": "2601 S Kanner Hwy",
"address_purpose": "LOCATION",
"city": "Stuart",
"state": "FL",
"postal_code": "349944622",
"country_code": "US",
"telephone_number": "772-219-2777",
"fax_number": "772-219-0017",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "264 NW Peacock Blvd Ste 202",
"address_purpose": "LOCATION",
"city": "Port St Lucie",
"state": "FL",
"postal_code": "349862272",
"country_code": "US",
"telephone_number": "772-871-1682",
"fax_number": "772-323-2523",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAPRIVE",
"first_name": "JESSICA",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-23",
"last_updated": "2026-08-01",
"certification_date": "2026-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "FL",
"license": "OS23093",
"primary": false
},
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "FL",
"license": "OS23093",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "KAPRIVE",
"middle_name": "FORBES",
"credential": "DO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2026; 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.