SANDINA SAMANTHA JACKSON APRN
NPI 1225623408
Nurse Practitioner in Pembroke Pines, FL

Q: What is Sandina Jackson's NPI number?

The NPI number for Sandina Jackson is 1225623408. It was assigned to this individual provider in the NPPES registry on March 9, 2021.

Q: What is Sandina Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Sandina Jackson was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 March 09, 2021PECOS EnrolledAccepts Medicare Assignment

880 SW 145TH AVE STE 202, PEMBROKE PINES, FL 33027(866) 849-0692 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 19, 2026, Mar 17, 2026, Feb 4, 2026 and 1 more (4 updates tracked since 2021).

On this page

About Sandina Samantha Jackson Aprn NPPES

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

SANDINA SAMANTHA JACKSON APRN (NPI 1225623408) is an individual nurse practitioner in Pembroke Pines, Florida, licensed in Florida (APRN11010356) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Vero Beach, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1225623408

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSANDINA SAMANTHA JACKSONCredential: APRN

Location Address880 SW 145TH AVE STE 202Pembroke Pines, FL 33027-6171

Mailing Address1000 36th StVero Beach, FL 32960-4862

Phone(866) 849-0692

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateMarch 9, 2021

Last NPPES UpdateMay 19, 20264 updates tracked since enumeration

NPPES CertifiedMay 19, 2026

✔ NPI 1225623408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in FL · APRN11010356✔ Licensed in NC · 5023920✔ Licensed in GA · GAA-NP004965✔ Licensed in SC · 31804✔ Licensed in PA · SP035423

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

880 SW 145TH AVE STE 202, Pembroke Pines, FL 33027

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Secondary Practice Location 1

Location 11000 36th StVero Beach, FL 32960-4862 · Phone (772) 567-4311

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

Sandina Samantha 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 ID9234547407

PECOS Enrollment IDI20210428001211

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 Reassignments

Medicare enrollment records show Sandina Jackson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Metcare Of Florida, Inc

3.8 mi

Internal Medicine

18590 NW 67TH AVE STE 101
Hialeah, FL 33015

Reassigned Medicare billing, Florida enrollment
53 clinicians in this Medicare group

NPI 1902893225 (786) 454-9850

Jupiter Medical Center Physicians Group

53 mi

Urgent Care

625 N FLAGLER DR, SUITE 100
West Palm Beach, FL 33401

Reassigned Medicare billing, Florida enrollment
247 clinicians in this Medicare group

NPI 1619415403 (561) 263-7010

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

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.

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

49 services43 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.

47 services39 patients

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.

31 services29 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

19 services19 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

14 services14 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33027 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 20

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

ALEC PETERSEN

Internal Medicine