SHYNETRA JACKSON
NPI 1255181442
Nurse Practitioner - Psychiatric/Mental Health in Kissimmee, FL

Q: What is Shynetra Jackson's NPI number?

The NPI number for Shynetra Jackson is 1255181442. It was assigned to this individual provider in the NPPES registry on March 22, 2024.

Q: What is Shynetra 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 Shynetra Jackson was last updated on March 22, 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 22, 2024PECOS Enrolled

4679 MARCOS CIR, KISSIMMEE, FL 34758(407) 259-6984 Get Directions Write a Review

NPPES record last updated: March 22, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Shynetra Jackson NPPES

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

SHYNETRA JACKSON (NPI 1255181442) is an individual psychiatric/mental health provider in Kissimmee, Florida, licensed in Florida ($$$$$$$$$) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255181442

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameSHYNETRA JACKSON

Location Address4679 MARCOS CIRKissimmee, FL 34758-2743

Mailing Address4679 Marcos CirKissimmee, FL 34758-2743 · (407) 259-6984

Phone(407) 259-6984

Sole ProprietorNo

Enumeration DateMarch 22, 2024

NPPES CertifiedMarch 21, 2024

✔ NPI 1255181442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LP0808X

Licenses✔ Licensed in FL · $$$$$$$$$✔ Licensed in FL · APRN11031964

4679 MARCOS CIR, Kissimmee, FL 34758

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida 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 (PECOS)

Shynetra Jackson 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34758 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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 Shynetra Jackson's NPI number?

The NPI number for Shynetra Jackson is 1255181442. It was assigned to this individual provider in the NPPES registry on March 22, 2024.

Where is Shynetra Jackson located?

Shynetra Jackson practices at 4679 Marcos Cir, Kissimmee, FL 34758. The listed phone number is (407) 259-6984.

What is Shynetra Jackson's specialty?

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

Is Shynetra Jackson enrolled in Medicare?

Yes. Shynetra Jackson is registered in the Medicare PECOS enrollment system.

What insurance does Shynetra Jackson accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida, Oscar Insurance Company and UnitedHealthcare list Shynetra Jackson 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 Shynetra Jackson was last updated on March 22, 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.