Individual provider Active NPI

Jessica Jeanlouis

  • Nurse Practitioner
  • Port Saint Lucie, FL
National Provider Identifier
1982216743
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11008794 Issued in FL
Practice address
1151 SW Haleyberry Ave
Port Saint Lucie, FL 34953-6832
Phone
(772) 812-1426
NPI assigned
Aug 21, 2020
Last updated
Aug 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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 11008794 FL Primary

Addresses

Primary practice location

1151 SW Haleyberry Ave
Port Saint Lucie, FL 34953-6832

Mailing address

1151 SW Haleyberry Ave
Port Saint Lucie, FL 34953-6832
Phone (772) 812-1426

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
I20201007000908 FL Practitioner - Nurse Practitioner 4688093891 Reassigns benefits to 4 organizations

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
Hospital Medicine Services of FL, LLCGroup PAC ID 9234596743, 513 clinicians

Practice addresses (Care Compare)

1796 US Hwy 441 N
Raulerson Hospital
Okeechobee, FL 34972-1918
Phone (863) 763-2151

2100 SE Salerno Rd
Stuart, FL 34997-6503
Phone (772) 223-2300

3600 S Highlands Ave
Sebring, FL 33870-5416
Phone (863) 385-6101

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11008794FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MD Primary Care Inc CurrentSince Sep 3, 2020 Accepting new patients
Martin Memorial Medical Center Inc CurrentSince Jan 1, 2025 Accepting new patients
Treasure Coast Hospitalist PL CurrentSince Sep 11, 2025 Accepting new patients
Hospital Medicine Services of FL, LLC CurrentSince Apr 1, 2023 Accepting new patients

Locations

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

2215 Nebraska Ave
Ste 2-B
Fort Pierce, FL 34950
Phone (772) 302-3767

340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618

2100 SE Salerno Rd
Stuart, FL 34997
Phone (772) 223-2300

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

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

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

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 2

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": "1597968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1982216743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 SW HALEYBERRY AVE",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349536832",
            "telephone_number": "772-812-1426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 SW HALEYBERRY AVE",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349536832",
            "telephone_number": "772-812-1426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEANLOUIS",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-21",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11008794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

Verify at the official NPI Registry.