Individual provider Active NPI

Jean Lynn Acosta, APRN

  • Adult Health Nurse Practitioner
  • Davie, FL
National Provider Identifier
1689240756
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
11016209 Issued in FL
Practice address
4301 S Flamingo Rd Ste 102
Davie, FL 33330-1902
Phone
(954) 640-1200
Fax
(954) 640-1208
NPI assigned
May 31, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X RN9273467 FL
Adult Health Nurse Practitioner 363LA2200X 11016209 FL Primary

Addresses

Primary practice location

4301 S Flamingo Rd Ste 102
Davie, FL 33330-1902

Mailing address

17113 Miramar Pkwy Ste 12
Miramar, FL 33027-4565
Phone (954) 257-9534

Other practice location 1

17113 Miramar Pkwy Ste 12
Miramar, FL 33027-4565
Phone (954) 257-9534

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
I20211115000999 FL Practitioner - Nurse Practitioner 7315336260 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quick Family Urgentcare, LLCGroup PAC ID 2062550700, 6 clinicians

Practice addresses (Care Compare)

4301 S Flamingo Rd
Suite 102
Davie, FL 33330-1902
Phone (954) 640-1200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN9273467FLMDCritical Care Medicine Registered Nurse
11016209FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Quick Family Urgentcare, LLC CurrentSince Oct 26, 2021 Accepting new patients

Locations

4301 S Flamingo Rd
Davie, FL 33330
Phone (954) 312-3449

4301 S Flamingo Rd
Ste 102
Davie, FL 33330
Phone (954) 370-2135

Organizations & group practices 1

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": "1622419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1689240756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17113 MIRAMAR PKWY STE 12",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330274565",
            "telephone_number": "954-257-9534",
            "fax_number": "954-212-9445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 S FLAMINGO RD STE 102",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333301902",
            "telephone_number": "954-640-1200",
            "fax_number": "954-640-1208"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17113 Miramar Pkwy Ste 12",
            "address_purpose": "LOCATION",
            "city": "Miramar",
            "state": "FL",
            "postal_code": "330274565",
            "country_code": "US",
            "telephone_number": "954-257-9534",
            "fax_number": "954-212-9445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ACOSTA",
        "first_name": "JEAN",
        "middle_name": "LYNN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-31",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "FL",
            "license": "RN9273467",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "11016209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

Verify at the official NPI Registry.