Active NPI
Jean Lynn Acosta, APRN
- Adult Health Nurse Practitioner
- Davie, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 11016209
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN9273467 | FL | MD | Critical Care Medicine Registered Nurse |
| 11016209 | FL | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quick Family Urgentcare, LLC | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.