Individual provider Active NPI

Jill Susanne Robinson, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hobe Sound, FL
National Provider Identifier
1346891272
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN9165714 Issued in FL
Practice address
10727 SE Seaspray CT
Hobe Sound, FL 33455-3271
Phone
(561) 718-7354
NPI assigned
Sep 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN9165714 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN9165714 FL Primary

Addresses

Primary practice location

10727 SE Seaspray CT
Hobe Sound, FL 33455-3271

Mailing address

10727 SE Seaspray CT
Hobe Sound, FL 33455-3271
Phone (561) 718-7354

Other practice location 1

10301 Hagen Ranch Rd Ste B200
Boynton Beach, FL 33437-3723
Phone (561) 752-9490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2646 Danforth Ter
Wellington, FL 33414-3433

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN9165714FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lewis Family Psychiatry, LLC CurrentSince Dec 1, 2024 Accepting new patients
Shardae Tripp Counseling LLC CurrentSince Jan 1, 2025 Accepting new patients

Locations

540 NW University Blvd
Ste 202
Port St Lucie, FL 34986
Phone (772) 418-7797

540 NW University Blvd
Ste 204
Port St Lucie, FL 34986
Phone (772) 418-7797

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.

NPI Registry JSON

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

{
    "created_epoch": "1569196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1346891272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10727 SE SEASPRAY CT",
            "city": "HOBE SOUND",
            "state": "FL",
            "postal_code": "334553271",
            "telephone_number": "561-718-7354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10727 SE SEASPRAY CT",
            "city": "HOBE SOUND",
            "state": "FL",
            "postal_code": "334553271",
            "telephone_number": "561-718-7354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10301 HAGEN RANCH RD STE B200",
            "address_purpose": "LOCATION",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373723",
            "country_code": "US",
            "telephone_number": "561-752-9490",
            "fax_number": "561-752-9491",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "JILL",
        "middle_name": "SUSANNE",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-23",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9165714",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN9165714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hobe Sound, FL

Sources for this page

Verify at the official NPI Registry.