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JACKLINE LINDA MUMIA PMHNP-BC
NPI 1033924642
Nurse Practitioner - Psychiatric/Mental Health in Orange Park, FL

Active since February 11, 2025PECOS EnrolledAccepts Medicare Assignment
1542 KINGSLEY AVE STE 136-137, ORANGE PARK, FL 32073(904) 458-7780 Get Directions Write a Review

NPPES record last updated: March 27, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 27, 2026, Feb 11, 2025 (2 updates tracked since 2025).

About Jackline Linda Mumia Pmhnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKLINE LINDA MUMIA PMHNP-BC (NPI 1033924642) is an individual psychiatric/mental health provider in Orange Park, Florida, licensed in Florida (APRN11036814) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1033924642
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJACKLINE LINDA MUMIACredential: PMHNP-BC
Location Address1542 KINGSLEY AVE STE 136-137Orange Park, FL 32073-4586
Mailing Address1542 Kingsley Ave Ste 136-137Orange Park, FL 32073-4586 · (904) 458-7780
Phone(904) 458-7780
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 11, 2025
Last NPPES UpdateMarch 27, 20262 updates tracked since enumeration
NPPES CertifiedMarch 27, 2026
✔ NPI 1033924642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in FL · APRN11036814
1542 KINGSLEY AVE STE 136-137, Orange Park, FL 32073
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jackline Linda Mumia Pmhnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193249332
PECOS Enrollment IDI20250409000396
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Jackline Mumia reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Metropolitan Behavioral Services LLC
10 mi
Mental Health
4720 SALISBURY RD
Jacksonville, FL 32256
  • Reassigned Medicare billing, Florida enrollment
  • 13 clinicians in this Medicare group
NPI 1801261631 (904) 562-1391
Nola Care, LLC
11 mi
Family
13241 BARTRAM PARK BLVD UNIT 505
Jacksonville, FL 32258
  • Reassigned Medicare billing, Florida enrollment
  • 2 clinicians in this Medicare group
NPI 1083477814 (905) 701-3610
Lehigh Acres Bg Opco LLC
245 mi
Assisted Living Facility
1251 BUSINESS WAY
Lehigh Acres, FL 33936
  • Reassigned Medicare billing, Florida enrollment
  • Medicare enrollment name: Dna Comprehensive Therapy Services LLC
  • 618 clinicians in this Medicare group
NPI 1760939813 (239) 368-2500
Soulspark, LLC
1,781 mi
Psychiatric/Mental Health
9835 E BELL RD STE 140
Scottsdale, AZ 85260
  • Reassigned Medicare billing, Florida enrollment
  • 3 clinicians in this Medicare group
NPI 1386254092 (602) 429-9244

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32073 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ABIGAIL LEE TEN EYCK MSN, PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1542 KINGSLEY AVE STE 136-137
ORANGE PARK, FL 32073
Clay County (904) 458-7780
DANIEL AARON WEINBERG MD
Psychiatry & Neurology (Psychiatry)
1542 KINGSLEY AVE STE 136-137
ORANGE PARK, FL 32073
Clay County (239) 690-6906
OCTAVIA GUICE PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1542 KINGSLEY AVE STE 136-137
ORANGE PARK, FL 32073
Clay County (239) 690-6906
JUSTIN BUTLER PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1542 KINGSLEY AVE STE 136-137
ORANGE PARK, FL 32073
Clay County (239) 690-6906
EMILY RAE FRICKER LCSW
Social Worker (Clinical)
1542 KINGSLEY AVE STE 136-137
ORANGE PARK, FL 32073
Clay County (239) 690-6906

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackline Mumia's NPI number?

The NPI number for Jackline Mumia is 1033924642. It was assigned to this individual provider in the NPPES registry on February 11, 2025.

Where is Jackline Mumia located?

Jackline Mumia practices at 1542 Kingsley Ave Ste 136-137, Orange Park, FL 32073. The listed phone number is (904) 458-7780.

What is Jackline Mumia's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jackline Mumia enrolled in Medicare?

Yes. Jackline Mumia is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jackline Mumia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jackline Mumia reassigns Medicare benefits to 4 organizations: Metropolitan Behavioral Services LLC (Jacksonville, FL), Nola Care, LLC (Jacksonville, FL), Lehigh Acres Bg Opco LLC (Lehigh Acres, FL) and Soulspark, LLC (Scottsdale, AZ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jackline Mumia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jackline Mumia accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Cigna HealthCare of Florida, Inc. and Cigna Healthcare and 2 other insurers list Jackline Mumia as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jackline Mumia was last updated on March 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.