JIMMY DORIVAL APRN
NPI 1114372596
Nurse Practitioner - Family in Port St Lucie, FL

Active since May 04, 2016PECOS EnrolledAccepts Medicare Assignment
672 SW PRIMA VISTA BLVD STE 102, PORT ST LUCIE, FL 34983(772) 905-2560(772) 336-8341 Get Directions Write a Review

NPPES record last updated: November 17, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 17, 2022, May 20, 2022 (2 updates tracked since 2022).

About Jimmy Dorival Aprn NPPES

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

JIMMY DORIVAL APRN (NPI 1114372596) is an individual family provider in Port St Lucie, Florida, licensed in Florida (APRN11019774) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1114372596
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJIMMY DORIVALCredential: APRN
Location Address672 SW PRIMA VISTA BLVD STE 102Port St Lucie, FL 34983-1820
Mailing Address199 Mulberry Grove RdRoyal Palm Beach, FL 33411-4520 · (561) 282-8295
Fax(772) 336-8341
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateMay 4, 2016
Last NPPES UpdateNovember 17, 20222 updates tracked since enumeration
NPPES CertifiedNovember 17, 2022
NPI 1114372596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in FL · APRN11019774
Also ListedSpecialist/Technologist, Other · Surgical AssistantTaxonomy 246ZC0007X · License 16-270 (FL)
Also ListedNurse PractitionerTaxonomy 363L00000X · License 11019774 (FL)
672 SW PRIMA VISTA BLVD STE 102, Port St Lucie, FL 34983

Accepted 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

Jimmy Dorival 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 ID2062893597
PECOS Enrollment IDI20220715000026
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 3

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
1,901 services147 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
122 services72 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
121 services72 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34983 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 5

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

Nurse Practitioner (Family)
672 SW PRIMA VISTA BLVD STE 102
PORT ST LUCIE, FL 34983
Physical Therapist
672 SW PRIMA VISTA BLVD STE 102
PORT SAINT LUCIE, FL 34983
Nurse Practitioner (Family)
672 SW PRIMA VISTA BLVD STE 102
PORT ST LUCIE, FL 34983
Chiropractor
672 SW PRIMA VISTA BLVD STE 102
PORT ST LUCIE, FL 34983
Nurse Practitioner (Family)
672 SW PRIMA VISTA BLVD STE 102
PORT ST LUCIE, FL 34983

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 Jimmy Dorival's NPI number?

The NPI number for Jimmy Dorival is 1114372596. It was assigned to this individual provider in the NPPES registry on May 4, 2016.

Where is Jimmy Dorival located?

Jimmy Dorival practices at 672 SW Prima Vista Blvd Ste 102, Port St Lucie, FL 34983. The listed phone number is (772) 905-2560.

What is Jimmy Dorival's specialty?

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

Is Jimmy Dorival enrolled in Medicare?

Yes. Jimmy Dorival 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.

What insurance does Jimmy Dorival accept?

Health plans from AvMed and UnitedHealthcare list Jimmy Dorival 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 Jimmy Dorival was last updated on November 17, 2022. 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.