JACKELIN SMITH ARNP
NPI 1083175871
Nurse Practitioner - Family in Fort Myers, FL

Q: What is Jackelin Smith's NPI number?

The NPI number for Jackelin Smith is 1083175871. It was assigned to this individual provider in the NPPES registry on March 26, 2019.

Q: What is Jackelin Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jackelin Smith was last updated on June 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

Active since March 26, 2019PECOS Enrolled

9981 S HEALTHPARK DR STE 454, FORT MYERS, FL 33908(239) 343-9710(239) 343-4178 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 5, 2024, Nov 11, 2021 (2 updates tracked since 2021).

On this page

About Jackelin Smith Arnp NPPES

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

JACKELIN SMITH ARNP (NPI 1083175871) is an individual family provider in Fort Myers, Florida, licensed in Florida (11001833) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Fort Myers.

NPPES Registry Identity

NPI1083175871

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJACKELIN SMITHCredential: ARNP

Location Address9981 S HEALTHPARK DR STE 454Fort Myers, FL 33908-3618

Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 343-9710 · Fax (239) 343-4178

Phone(239) 343-9710

Fax(239) 343-4178

Sole ProprietorNo

Enumeration DateMarch 26, 2019

Last NPPES UpdateJune 5, 20242 updates tracked since enumeration

NPPES CertifiedJune 5, 2024

✔ NPI 1083175871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in FL · 11001833

9981 S HEALTHPARK DR STE 454, Fort Myers, FL 33908

Open in Google Maps ↗

Secondary Practice Location 1

Location 110685 Essex Square BlvdFort Myers, FL 33913-2612 · Phone (786) 390-2650

Other Identifiers 1

Medicaid105132500FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jackelin Smith Arnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

155 services87 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

37 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33908 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

$91.69 typical visit price

range $58.56 – $179.05

Typical copayment $22.92 (range $14.64 – $44.76)

Most-billed visit code 99203

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

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 10

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

DR. SASHI ADIGOPULA M.D.

Internal Medicine (Advanced Heart Failure and Transplant Cardiology)