Individual provider Active NPI

Jessica Kaprive, DO

  • MOHS-Micrographic Surgery Physician
  • Port St Lucie, FL
National Provider Identifier
1053997601
Registry record updated Aug 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
OS23093 Issued in FL
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260203003353 FL Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 5799187084 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Micrographic Dermatologic Surgery (MDS)Also: Dermatology
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

LicenseStateTypeSpecialty
OS23093FLMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aqua Dermatology of Florida, PA Dermatology CurrentSince Mar 1, 2026 Accepting new patients
Naples Center for Dermatology & Riverchase Dermatology CurrentSince Mar 1, 2026 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.

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

Verify at the official NPI Registry.