Individual provider Active NPI

Jessica V Schulte, FNP

  • Nurse Practitioner
  • Port St Lucie, FL
National Provider Identifier
1508635079
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11028585 Issued in FL
Practice address
1400 SE Goldtree Dr Ste 107
Port St Lucie, FL 34952-7582
Phone
(772) 335-3550
Fax
(772) 337-4113
NPI assigned
Dec 26, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11028585 FL Primary

Addresses

Primary practice location

1400 SE Goldtree Dr Ste 107
Port St Lucie, FL 34952-7582

Mailing address

900 Village Square Xing Ste 290
Palm Beach Gardens, FL 33410-4552
Phone (561) 693-0540

Other practice location 1

5101 Okeechobee Rd
Fort Pierce, FL 34947-5415
Phone (772) 595-5995

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
I20240122000455 FL Practitioner - Nurse Practitioner 3577915990 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aqua Dermatology of Florida, PAGroup PAC ID 1153390414, 184 clinicians

Practice addresses (Care Compare)

1400 SE Goldtree Dr
Suite 107
Port St Lucie, FL 34952-7582
Phone (772) 217-6551

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11028585FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aqua Dermatology of Florida, PA CurrentSince Jan 10, 2024 Accepting new patients
Naples Center for Dermatology & Riverchase Dermatology CurrentSince Jan 10, 2024 Accepting new patients

Locations

5101 Okeechobee Rd
Fort Pierce, FL 34947
Phone (772) 595-5995

3498 NW Federal Hwy
Jensen Beach, FL 34957
Phone (772) 219-1080

12983 Southern Blvd
Ste 204
Loxahatchee, FL 33470
Phone (561) 790-2258

1015 Crosspointe Dr
Naples, FL 34110
Phone (239) 596-9075

1400 SE Goldtree Dr
Ste 107
Port St Lucie, FL 34952
Phone (772) 217-6551

900 Village Square Xing
Ste 290
West Palm Beach, FL 33410
Phone (239) 313-2517

2031 Palm Beach Lakes Blvd
Ste 101
West Palm Beach, FL 33409
Phone (561) 296-7710

2031 Palm Beach Lakes Blvd
#101
West Palm Beach, FL 33409
Phone (561) 296-7710

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

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": "1703548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1508635079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 VILLAGE SQUARE XING STE 290",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104552",
            "telephone_number": "561-693-0540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 SE GOLDTREE DR STE 107",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527582",
            "telephone_number": "772-335-3550",
            "fax_number": "772-337-4113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5101 Okeechobee Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Pierce",
            "state": "FL",
            "postal_code": "349475415",
            "country_code": "US",
            "telephone_number": "772-595-5995",
            "fax_number": "772-595-5990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHULTE",
        "first_name": "JESSICA",
        "middle_name": "V",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-26",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11028585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

Verify at the official NPI Registry.