Individual provider Active NPI

Ydalina Inmaculada Coste Jimenez, ARNP

  • Family Nurse Practitioner
  • Vero Beach, FL
National Provider Identifier
1689275349
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11030383 Issued in FL
Practice address
3555 10TH CT Ste 200B
Vero Beach, FL 32960-5013
Phone
(725) 634-6737
NPI assigned
Nov 7, 2020
Reactivated
Feb 20, 2024
Last updated
May 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X 20-435 WI
Nurse Practitioner 363L00000X 11030383 FL
Family Nurse Practitioner 363LF0000X 5021258 NC
Family Nurse Practitioner 363LF0000X 11030383 FL Primary

Addresses

Primary practice location

3555 10TH CT Ste 200B
Vero Beach, FL 32960-5013

Mailing address

3555 10TH CT Ste 200B
Vero Beach, FL 32960-5013
Phone (772) 563-4673

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
I20250605002585 FL Practitioner - Nurse Practitioner 0840700233 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
Indian River Health Services IncGroup PAC ID 9234130329, 335 clinicians

Practice addresses (Care Compare)

3555 10TH CT
Suite 200B
Vero Beach, FL 32960-5013
Phone (772) 226-4810

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20-435WIMDSurgical Assistant
11030383FLMDFamily Nurse Practitioner
5021258NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Indian River Health Services Inc CurrentSince Jun 16, 2025 Accepting new patients
Indian River Health Services Inc CurrentSince Jun 16, 2025 Accepting new patients
Urology Specialists of the Carolinas PastSince Jan 1, 2025 Accepting new patients
Urology Specialists of the Carolinas PLLC PastSince Jan 1, 2025 Accepting new patients

Locations

1000 36th St
Ste 5105
Vero Beach, FL 32960

1190 37th St
Vero Beach, FL 32960
Phone (772) 563-4444

3555 10th Ct
Ste 200B
Vero Beach, FL 32960
Phone (772) 226-4810

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: ycoste2963298@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1604707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1689275349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 10TH CT STE 200B",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329605013",
            "telephone_number": "772-563-4673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 10TH CT STE 200B",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329605013",
            "telephone_number": "725-634-6737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTE JIMENEZ",
        "first_name": "YDALINA",
        "middle_name": "INMACULADA",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-07",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "deactivation_date": "2021-02-10",
        "reactivation_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "WI",
            "license": "20-435",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11030383",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5021258",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11030383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.