Active NPI
Jesse Lee Mace, FNP-C
- Family Nurse Practitioner
- Vero Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 9432066
- Practice address
- 3735 11TH Cir Ste 103
Vero Beach, FL 32960-4884 - Phone
- (772) 770-4888
- NPI assigned
- Jul 19, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN9432066 | FL | |
| Family Nurse Practitioner | 363LF0000X | 9432066 | FL | Primary |
Addresses
Primary practice location
3735 11TH Cir Ste 103
Vero Beach, FL 32960-4884
Mailing address
8116 Amalfi Cir
Fort Pierce, FL 34951-4400
Phone (772) 226-0425
Other practice location 1
8116 Amalfi Cir
Fort Pierce, FL 34951-4400
Phone (772) 226-0425
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1910 82ND Ave
Suite 105
Vero Beach, FL 32966-6991
Phone (772) 226-0425
Hospital & facility affiliations
- NHC Homecare
- Pinnacle Home Care
- Concierge Home Care
- Cleveland Clinic Indian River Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9432066 | FL | MD | Family Nurse Practitioner |
| APRN9432066 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oceanside Health and Wellness LLC | Family | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
1910 82nd Ave
Ste 105
Vero Beach, FL 32966
Phone (772) 226-0425
1800 43rd Ave
Vero Beach, FL 32960
Phone (772) 226-0425
Organizations & group practices 4
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.
-
- Family Nurse Practitioner
- Fort Pierce, FL
- NPI 1982336327
-
- Hospitalist Physician
- Aventura, FL
- NPI 1710684857
-
- Family Medicine Physician
- Vero Beach, FL
- NPI 1629650841
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Port St Lucie, FL
- NPI 1184222549
-
- General Acute Care Hospital
- Vero Beach, FL
- NPI 1376512988
-
- Home Health Agency
- Vero Beach, FL
- NPI 1629009972
-
- Home Health Agency
- Port St Lucie, FL
- NPI 1285191825
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651622400000",
"number": "1275975237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8116 AMALFI CIR",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349514400",
"telephone_number": "772-226-0425",
"fax_number": "949-437-8585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3735 11TH CIR STE 103",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329604884",
"telephone_number": "772-770-4888"
}
],
"practiceLocations": [
{
"address_1": "8116 Amalfi Cir",
"address_purpose": "LOCATION",
"city": "Fort Pierce",
"state": "FL",
"postal_code": "349514400",
"country_code": "US",
"telephone_number": "772-226-0425",
"fax_number": "949-437-8585",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MACE",
"first_name": "JESSE",
"middle_name": "LEE",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-07-19",
"last_updated": "2022-05-04",
"certification_date": "2022-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN9432066",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "9432066",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; 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.