Individual provider Active NPI

Jaclyn Youngkin, FNP-C

  • Family Nurse Practitioner
  • Jupiter, FL
National Provider Identifier
1245898147
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11006912 Issued in FL
Practice address
2141 S Alternate A1A Ste 420
Jupiter, FL 33477-4063
Phone
(561) 743-5580
NPI assigned
Jun 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11006912 FL Primary

Addresses

Primary practice location

2141 S Alternate A1A Ste 420
Jupiter, FL 33477-4063

Mailing address

2141 S Alternate A1A Ste 420
Jupiter, FL 33477-4063
Phone (561) 743-5580

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210816002105 FL Practitioner - Nurse Practitioner 6709213994 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stuart Cardiology Group LLCGroup PAC ID 7113959313, 43 clinicians

Practice addresses (Care Compare)

1001 SE Monterey Comm
Suite 300
Stuart, FL 34996-3329
Phone (772) 286-9400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11006912FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Cardiovascular Consultants LLC CurrentSince Mar 12, 2023 Accepting new patients
Stuart Cardiology Group LLC CurrentSince Apr 2, 2025 Accepting new patients

Locations

10000 SW Innovation Way
Port St Lucie, FL 34987
Phone (772) 288-5853

11380 SW Village Pkwy
Ste 300
Port St Lucie, FL 34987

310 SE Veranda Falls Way
Port St Lucie, FL 34984
Phone (561) 800-4111

2100 SE Salerno Rd
Stuart, FL 34997
Phone (772) 223-2300

200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618

1001 SE Monterey Commons Blvd
Ste 300
Stuart, FL 34996
Phone (561) 286-9400

5305 Greenwood Ave
Ste 204
West Palm Beach, FL 33407
Phone (561) 832-8886

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18542/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: jaclyn.youngkinaprn.p1@direct.scg.nextgenshare.com
  • Direct secure messaging: jyoungkin21130@jupitermedicalcenter.direct-ci.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1245898147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2141 S ALTERNATE A1A STE 420",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334774063",
            "telephone_number": "561-743-5580",
            "fax_number": "561-743-5595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2141 S ALTERNATE A1A STE 420",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334774063",
            "telephone_number": "561-743-5580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNGKIN",
        "first_name": "JACLYN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-05",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11006912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

Verify at the official NPI Registry.