Individual provider Active NPI

Masiai Willis-Jones, APRN FNP-C

  • Family Nurse Practitioner
  • Port St Lucie, FL
National Provider Identifier
1891447744
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11017794 Issued in FL
Practice address
1066 SW Gatlin Blvd
Port St Lucie, FL 34953-3223
Phone
(772) 879-8080
Fax
(772) 324-9347
NPI assigned
Jan 21, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11017794 FL Primary
Family Nurse Practitioner 363LF0000X F01220755 FL

Addresses

Primary practice location

1066 SW Gatlin Blvd
Port St Lucie, FL 34953-3223

Mailing address

1066 SW Gatlin Blvd
Port Saint Lucie, FL 34953-3223
Phone (772) 879-8080

Other practice location 1

2351 SW Martin Hwy
Palm City, FL 34990-3222
Phone (772) 324-9337

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
I20221011000595 FL Practitioner - Nurse Practitioner 0446636716 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Back in Action Medical Center LLCGroup PAC ID 7810272473, 12 clinicians
Minuteclinic LLCGroup PAC ID 6709850241, 576 clinicians

Practice addresses (Care Compare)

1066 SW Gatlin Blvd
Port St. Lucie, FL 34953-3223
Phone (772) 879-8080

1300 SW St Lucie Blvd
Port St Lucie, FL 34986-2109
Phone (866) 389-2727

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11017794FLMDFamily Nurse Practitioner
F01220755FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Treasure Coast Medical Associates CurrentSince Aug 25, 2022 Accepting new patients
Back in Action Medical Center LLC CurrentSince Sep 10, 2025 Accepting new patients
Minuteclinic LLC Family CurrentSince Jan 29, 2025 Accepting new patients
Back in Action Medical Center LLC CurrentSince Sep 10, 2025 Accepting new patients
Treasure Coast Medical Associates CurrentSince Aug 25, 2022 Accepting new patients
Porter Elite Precision Psychiatry and Wellness Center LLC PastSince Oct 1, 2023 Accepting new patients

Locations

3405 NW Federal Hwy
Jensen Beach, FL 34957
Phone (772) 692-8082

121 W Macclenny Ave
Macclenny, FL 32063
Phone (904) 259-6380

12401 Miramar Pkwy
Miramar, FL 33027
Phone (954) 538-8473

305 NE Park St
Okeechobee, FL 34972
Phone (772) 692-8082

2351 SW Martin Hwy
Palm City, FL 34990
Phone (772) 324-8337

8765 S Dixie Hwy
Pinecrest, FL 33156
Phone (305) 740-6840

1300 SW Saint Lucie West Blvd
Port St Lucie, FL 34986
Phone (772) 878-7078

1066 SW Gatlin Blvd
Port St Lucie, FL 34953
Phone (772) 324-9337

7599 W Sand Lake Rd
Sand Lake, FL 32819
Phone (407) 352-0943

7195 S George Blvd
Sebring, FL 33875
Phone (863) 451-5854

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GCBABD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1642723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1891447744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1066 SW GATLIN BLVD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349533223",
            "telephone_number": "772-879-8080",
            "fax_number": "772-324-9347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1066 SW GATLIN BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349533223",
            "telephone_number": "772-879-8080",
            "fax_number": "772-324-9347"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2351 SW Martin Hwy",
            "address_purpose": "LOCATION",
            "city": "Palm City",
            "state": "FL",
            "postal_code": "349903222",
            "country_code": "US",
            "telephone_number": "772-324-9337",
            "fax_number": "772-324-9347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIS-JONES",
        "first_name": "MASIAI",
        "credential": "APRN FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-21",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11017794",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "F01220755",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

Verify at the official NPI Registry.