Jessica Wyckoff, DNP, APRN, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11007428 Issued in FL

Practice address

12497 Tamiami TRL S Ste 1
North Port, FL 34287-1415

Phone

(941) 282-3376

Fax

(941) 282-3378

NPI assigned

Jun 14, 2020

Last updated

Sep 23, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sunshine State Dermatology and Skin Cancer Center IncGroup PAC ID 0244699387, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: jessicaw@sunshinestatederm.emadirect.md

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.

• Sunshine State Dermatology and Skin Cancer Center Inc

  dba Sunshine State Dermatology and Skin Cancer Center

  • MOHS-Micrographic Surgery Physician
  • North Port, FL
  • NPI 1164122347
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Sarasota County Public Hospital District

  dba Sarasota Memorial Hospital

  • General Acute Care Hospital
  • Sarasota, FL
  • NPI 1245294826
  Care Compare affiliation

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

{
    "created_epoch": "1592092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1205451366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12497 TAMIAMI TRL S STE 1",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342871415",
            "telephone_number": "941-282-3376",
            "fax_number": "941-282-3378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12497 TAMIAMI TRL S STE 1",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342871415",
            "telephone_number": "941-282-3376",
            "fax_number": "941-282-3378"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1415 E Venice Ave",
            "address_purpose": "LOCATION",
            "city": "Venice",
            "state": "FL",
            "postal_code": "342923064",
            "country_code": "US",
            "telephone_number": "941-282-3376",
            "fax_number": "941-282-3378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WYCKOFF",
        "first_name": "JESSICA",
        "credential": "DNP, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-14",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11007428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "2NEDO",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph A Woodford, RPH
• Najia Woodie
• Holly B Woodward, R.N.
• Madison Wright
• Mary-Ann Wright
• Vander M Wynn, MD
• Natali Yazgi
• Yellow Lotus Clinical Services for Healing & Wellness PLLC
• Tiffany Yelton
• Dawn Zack

• Family Nurse Practitioner in North Port, FL
• Providers in North Port, 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 Sep 23, 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.

Verify at the official NPI Registry.