Individual provider Active NPI

Jasmine Graves, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Wesley Chapel, FL
National Provider Identifier
1376213611
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11014902 Issued in FL
Practice address
5945 Newberry Pines Ave
Wesley Chapel, FL 33545-5294
Phone
(317) 496-8036
NPI assigned
Sep 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11014902 FL Primary

Addresses

Primary practice location

5945 Newberry Pines Ave
Wesley Chapel, FL 33545-5294

Mailing address

5945 Newberry Pines Ave
Wesley Chapel, FL 33545-5294
Phone (317) 496-8036

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
I20211005000974 FL Practitioner - Nurse Practitioner 9931507092 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dr Luisa Vega DNP LLCGroup PAC ID 3577872605, 83 clinicians
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

1044 E Brandon Blvd
Suite 1And2
Brandon, FL 33511-5509
Phone (813) 403-4423

333 SE 2ND Ave
Suite 2000
Miami, FL 33131-2185
Phone (866) 630-0966

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11014902FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SGMP Southland LLC CurrentSince Sep 1, 2023 Accepting new patients
Hni Hospital Services of Florida, LLC CurrentSince Feb 15, 2023 Accepting new patients
Balanced Wellbeing LLC CurrentSince Mar 6, 2023 Accepting new patients
Hni Medical Services of Florida, LLC Psychiatric/Mental Health CurrentSince Feb 15, 2023 Accepting new patients
Dr Luisa Vega DNP LLC Psychiatric/Mental Health CurrentSince Oct 1, 2024 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Jul 2, 2024 Accepting new patients
Optimal Mental Outlook Psychiatric/Mental Health CurrentSince Jun 30, 2024 Accepting new patients
MCR Health, Inc. CurrentSince Apr 20, 2023 Accepting new patients
MCR Health, Inc. CurrentSince Apr 20, 2023 Accepting new patients

Locations

900 N Robert Ave
Arcadia, FL 34266
Phone (863) 494-8426

1044 E Brandon Blvd
Ste 12
Brandon, FL 33511
Phone (813) 403-4423

13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000

4901 Richard St
Jacksonville, FL 32207
Phone (904) 425-0500

1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414

525 Technology Park
Lake Mary, FL 32746
Phone (407) 347-4331

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

3200 SW 34th Ave
Ste 701
Ocala, FL 34474
Phone (354) 445-1200

615 N Bonita Ave
Panama City, FL 32401
Phone (850) 747-2020

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507

29910 State Road 56
Wesley Chapel, FL 33543
Phone (813) 333-0000

Organizations & group practices 11

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": "1631836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1376213611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5945 NEWBERRY PINES AVE",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335455294",
            "telephone_number": "317-496-8036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5945 NEWBERRY PINES AVE",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335455294",
            "telephone_number": "317-496-8036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "JASMINE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-17",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11014902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

Verify at the official NPI Registry.