MS. YINKA SHUNTINA JACKSON APRN
NPI 1104470038
Nurse Practitioner - Psychiatric/Mental Health in Hollywood, FL

Q: What is Yinka Jackson's NPI number?

The NPI number for Yinka Jackson is 1104470038. It was assigned to this individual provider in the NPPES registry on July 29, 2019.

Q: What is Yinka Jackson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Yinka Jackson was last updated on August 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since July 29, 2019PECOS EnrolledAccepts Medicare Assignment

7369 SHERIDAN ST STE 203, HOLLYWOOD, FL 33024(954) 983-5330(954) 983-5086 Get Directions Write a Review

NPPES record last updated: August 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 4, 2025, Oct 2, 2024, Jan 12, 2021 and 3 more (6 updates tracked since 2019).

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About Ms. Yinka Shuntina Jackson Aprn NPPES

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

MS. YINKA SHUNTINA JACKSON APRN (NPI 1104470038) is an individual psychiatric/mental health provider in Hollywood, Florida, licensed in Florida (APRN11003519) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, maintains 7 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1104470038

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMS. YINKA SHUNTINA JACKSONCredential: APRN

Location Address7369 SHERIDAN ST STE 203Hollywood, FL 33024-2776

Mailing Address7369 Sheridan St Ste 203Hollywood, FL 33024-2776 · (954) 983-5330 · Fax (954) 983-5086

Phone(954) 983-5330

Fax(954) 983-5086

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateJuly 29, 2019

Last NPPES UpdateAugust 21, 20256 updates tracked since enumeration

NPPES CertifiedAugust 21, 2025

✔ NPI 1104470038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in FL · APRN11003519✔ Licensed in NC · 5019367

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APRN11003519 (FL)

7369 SHERIDAN ST STE 203, Hollywood, FL 33024

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Secondary Practice Locations 7

Location 16303 Blue Lagoon Dr Ste 400Miami, FL 33126-6040 · Phone (786) 809-3606 · Fax (786) 809-3616

Location 28601 Six Forks Rd Ste 412Raleigh, NC 27615-5276 · Phone (984) 283-0333 · Fax (984) 283-0433

Location 38270 Woodland Center BlvdTampa, FL 33614-2401 · Phone (656) 233-0010 · Fax (656) 233-0011

Location 42054 Vista Pkwy Ste 400West Palm Beach, FL 33411-6742 · Phone (561) 216-0006 · Fax (954) 350-0909

Location 511555 Heron Bay Blvd Ste 200Coral Springs, FL 33076-3362 · Phone (954) 338-4303 · Fax (954) 350-0909

Location 62255 Glades Rd Ste 324ABoca Raton, FL 33431-8571 · Phone (561) 510-9190 · Fax (954) 350-0909

Location 73440 Toringdon Way Ste 205Charlotte, NC 28277-3191 · Phone (980) 375-6657 · Fax (980) 375-6658

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Yinka Shuntina Jackson Aprn 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 ID8921411760

PECOS Enrollment IDI20210115000343

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33024 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 13

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

KARINA GITLIN APRN-PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)