Sheeja Jacob, APRN

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

APRN11012005 Issued in FL

Practice address

2801 13TH St
Saint Cloud, FL 34769-4134

Phone

(407) 483-3571

NPI assigned

Mar 24, 2021

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

University of South Alabama College of Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mango Wellness LLCGroup PAC ID 9931507266, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Mango Wellness LLC

  dba Mangowellness

  • Multi-Specialty Clinic/Center
  • Saint Cloud, FL
  • NPI 1912570987
  Medicare reassignment Care Compare group NPD
• Salud Urgent Care LLC

  • Primary Care Clinic/Center
  • Saint Cloud, FL
  • NPI 1598282113
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1174100556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 13TH ST",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347694134",
            "telephone_number": "407-483-3571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 13TH ST",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347694134",
            "telephone_number": "407-483-3571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOB",
        "first_name": "SHEEJA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-24",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN11012005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Issa Rodriguez
• Tina Ittera
• Diana Ivanovski
• Ivcare of Florida LLC (IVCare Infusion)
• J. Rapha Medical, PA
• Syed A Jafri, M.D.
• Bernette James
• Jessica James, MS
• Sabrina Daniela Jarrett, MS,RD,CSR,LDN,CHC
• Martha Kathleen Jarvis, MS PT ATCL

• Gerontology Nurse Practitioner in Saint Cloud, FL
• Providers in Saint Cloud, FL by specialty
• Gerontology Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; 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.