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NYOTA ROSHANDA JACKMAN
NPI 1083499867
Family Medicine in North Miami, FL

Active since August 29, 2023PECOS Enrolled
14795 NE 18TH AVE APT 205, NORTH MIAMI, FL 33181(786) 355-8945 Get Directions Write a Review

NPPES record last updated: August 29, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Nyota Roshanda Jackman NPPES

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

NYOTA ROSHANDA JACKMAN (NPI 1083499867) is an individual family medicine provider in North Miami, Florida, licensed in Florida (11025583) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1083499867
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameNYOTA ROSHANDA JACKMAN
Location Address14795 NE 18TH AVE APT 205North Miami, FL 33181-1126
Mailing Address14795 Ne 18th Ave Apt 205North Miami, FL 33181-1126 · (786) 355-8945
Phone(786) 355-8945
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 29, 2023
NPPES CertifiedAugust 29, 2023
✔ NPI 1083499867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · 11025583
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedRegistered NurseTaxonomy 163W00000X · License 9455228 (FL)
14795 NE 18TH AVE APT 205, North Miami, FL 33181
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nyota Roshanda Jackman is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8224516224
PECOS Enrollment IDI20260130003652
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 Reassignment

Medicare enrollment records show Nyota Jackman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Miami Jewish Health Systems, Inc.
6.3 mi
Skilled Nursing Facility
5200 NE 2ND AVE
Miami, FL 33137
  • Reassigned Medicare billing, Florida enrollment
  • 53 clinicians in this Medicare group
NPI 1821093451 (305) 751-8626

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 33181 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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.

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 Nyota Jackman's NPI number?

The NPI number for Nyota Jackman is 1083499867. It was assigned to this individual provider in the NPPES registry on August 29, 2023.

Where is Nyota Jackman located?

Nyota Jackman practices at 14795 NE 18th Ave Apt 205, North Miami, FL 33181. The listed phone number is (786) 355-8945.

What is Nyota Jackman's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nyota Jackman enrolled in Medicare?

Yes. Nyota Jackman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nyota Jackman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nyota Jackman reassigns Medicare benefits to Miami Jewish Health Systems, Inc. (Miami, 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 Nyota Jackman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nyota Jackman was last updated on August 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.