JACLYN LEE EASTMAN
NPI 1073319018
Nurse Practitioner - Psychiatric/Mental Health in Fort Myers, FL
About Jaclyn Lee Eastman NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACLYN LEE EASTMAN (NPI 1073319018) is an individual psychiatric/mental health provider in Fort Myers, Florida, licensed in Florida (11037853) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted 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
Jaclyn Lee Eastman 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.
Medicare Billing Reassignment
Medicare enrollment records show Jaclyn Eastman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fort Myers, FL 33919
- Reassigned Medicare billing, Florida enrollment
- 5 clinicians in this Medicare group
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 33913 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Jaclyn Eastman's NPI number?
The NPI number for Jaclyn Eastman is 1073319018. It was assigned to this individual provider in the NPPES registry on February 20, 2025.
Where is Jaclyn Eastman located?
Jaclyn Eastman practices at 14099 Pine Lodge Ln, Fort Myers, FL 33913. The listed phone number is (774) 266-3419.
What is Jaclyn Eastman's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Jaclyn Eastman enrolled in Medicare?
Yes. Jaclyn Eastman 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 organization bills Medicare for Jaclyn Eastman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jaclyn Eastman reassigns Medicare benefits to Mentus Behavioral Health LLC (Fort Myers, FL). The 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 Jaclyn Eastman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jaclyn Eastman accept?
Health plans from Ambetter Health, Ambetter of Alabama, Cigna HealthCare of Florida, Inc., Cigna Healthcare and Florida Blue (BlueCross BlueShield FL) and 3 other insurers list Jaclyn Eastman 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 Jaclyn Eastman was last updated on February 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Jaclyn Lee Eastman · NPI 1073319018
Psychiatric/Mental Health physician in Fort Myers, Florida. Individual provider, active in the CMS NPPES registry since February 20, 2025.
## Identity
- **NPI:** 1073319018 (Entity type: Individual)
- **Enumerated:** February 20, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 11037853 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 14099 PINE LODGE LN, Fort Myers, FL 33913-9470
- **Phone:** (774) 266-3419
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mentus Behavioral Health LLC (NPI 1700533536, Fort Myers, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** February 20, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1073319018) · Data from the CMS NPPES public registry.