Individual provider Active NPI

Jessica Lynn Tancos, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1417657107
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11025705 Issued in FL
Practice address
5005 W Laurel St Ste 205
Tampa, FL 33607-3836
Phone
(813) 922-1532
Fax
(833) 371-1901
NPI assigned
Mar 9, 2023
Last updated
Aug 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9457938 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11025705 FL Primary

Addresses

Primary practice location

5005 W Laurel St Ste 205
Tampa, FL 33607-3836

Mailing address

5005 W Laurel St Ste 205
Tampa, FL 33607-3836
Phone (813) 922-1532

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
I20230509002579 FL Practitioner - Nurse Practitioner 8022177617 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN9457938FLMDRegistered Nurse
11025705FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health Management Services, Inc. CurrentSince May 2, 2023 Accepting new patients
Baycare Behavioral Health Inc. Current Accepting new patients
Behavioral Health Management Services, Inc. CurrentSince May 2, 2023 Accepting new patients
Baycare Behavioral Health Inc. CurrentSince Jun 2, 2024 Accepting new patients
Baycare Behavioral Health, Inc CurrentSince Jun 2, 2024 Accepting new patients
Every Rose LLC CurrentSince Aug 10, 2025 Accepting new patients

Locations

1106 Druid Rd S
Clearwater, FL 33756
Phone (727) 584-6266

2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 315-7234

3251 N McMullen Booth Rd
Ste 201
Clearwater, FL 33761
Phone (727) 725-6026

7809 Massachusetts Ave
Ste 100
New Prt Rchy, FL 34653
Phone (727) 841-4200

560 Jackson St N
Ste 302
St Petersburg, FL 33705
Phone (727) 820-7701

2727 W Mlk Blvd
Ste 640
Tampa, FL 33607
Phone (813) 842-7582

5005 W Laurel St
Ste 205
Tampa, FL 33607
Phone (813) 909-5552

Interoperability endpoints

  • Direct secure messaging: jessica.tancosaprn@direct.mybaycare.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1678320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1417657107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 W LAUREL ST STE 205",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336073836",
            "telephone_number": "813-922-1532",
            "fax_number": "833-371-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 W LAUREL ST STE 205",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336073836",
            "telephone_number": "813-922-1532",
            "fax_number": "833-371-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANCOS",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-09",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9457938",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11025705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.