JACQUELINE USTACHE APRN, PMHNP-BC
NPI 1255788832
Nurse Practitioner - Psychiatric/Mental Health in Trinity, FL
About Jacqueline Ustache Aprn, Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUELINE USTACHE APRN, PMHNP-BC (NPI 1255788832) is an individual psychiatric/mental health provider in Trinity, Florida, licensed in Montana (APRN-175606) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Brooksville, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Accepted Insurance
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
Jacqueline Ustache Aprn, Pmhnp-bc 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.
Medicare Billing Reassignments
8Medicare enrollment records show Jacqueline Ustache reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Inverness, FL 34450
- Reassigned Medicare billing, Florida enrollment
- 114 clinicians in this Medicare group
Fort Myers, FL 33916
- Reassigned Medicare billing, Florida enrollment
- 618 clinicians in this Medicare group
Miami, FL 33130
- Reassigned Medicare billing, Arizona, Florida, Montana and North Dakota enrollments
- 532 clinicians in this Medicare group
Grand Forks, ND 58201
- Reassigned Medicare billing, North Dakota enrollment
- 701 clinicians in this Medicare group
Fort Defiance, AZ 86504
- Reassigned Medicare billing, Texas enrollment
- 518 clinicians in this Medicare group
Dilkon, AZ 86047
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Winslow Indian Health Care Center Inc
- 219 clinicians in this Medicare group
Lewistown, MT 59457
- Reassigned Medicare billing, Montana enrollment
- 40 clinicians in this Medicare group
Great Falls, MT 59401
- Reassigned Medicare billing, Texas enrollment
- 11 clinicians in this Medicare group
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 34655 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TRINITY, FL 34655
TRINITY, FL 34655
TRINITY, FL 34655
TRINITY, FL 34655
TRINITY, FL 34655
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 Jacqueline Ustache's NPI number?
The NPI number for Jacqueline Ustache is 1255788832. It was assigned to this individual provider in the NPPES registry on May 24, 2016. The provider is also known as Jacqueline Pierre Aprn.
Where is Jacqueline Ustache located?
Jacqueline Ustache practices at 7916 Evolutions Way Ste 102, Trinity, FL 34655. The listed phone number is (727) 910-5990.
What is Jacqueline Ustache's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Jacqueline Ustache enrolled in Medicare?
Yes. Jacqueline Ustache 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.
Which organizations bill Medicare for Jacqueline Ustache's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Ustache reassigns Medicare benefits to 8 organizations: Sma Healthcare Inc (Inverness, FL), Dna Comprehensive Therapy Services, LLC (Fort Myers, FL), Grow Healthcare Group PA (Miami, FL), Altru Health System (Grand Forks, ND), The Fort Defiance Indian Hospital Board, Incorporation (Fort Defiance, AZ) and 3 more organizations, listed in the Medicare section above. Each 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 Jacqueline Ustache's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jacqueline Ustache accept?
Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Blue Cross Blue Shield of Arizona and Blue Cross Blue Shield of North Dakota and 9 other insurers list Jacqueline Ustache 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 Jacqueline Ustache was last updated on June 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Jacqueline Ustache, APRN, PMHNP-BC · NPI 1255788832
Psychiatric/Mental Health physician in Trinity, Florida. Individual provider, active in the CMS NPPES registry since May 24, 2016.
## Identity
- **NPI:** 1255788832 (Entity type: Individual)
- **Enumerated:** May 24, 2016
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** APRN-175606 (Montana)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 7916 EVOLUTIONS WAY STE 102, Trinity, FL 34655-9900
- **Phone:** (727) 910-5990
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 8 organizations under Medicare reassignment (form CMS-855R): Sma Healthcare Inc (NPI 1366014615, Inverness, FL); Dna Comprehensive Therapy Services, LLC (NPI 1316363757, Fort Myers, FL); Grow Healthcare Group PA (NPI 1245845932, Miami, FL); Altru Health System (NPI 1043309552, Grand Forks, ND); The Fort Defiance Indian Hospital Board, Incorporation (NPI 1477876639, Fort Defiance, AZ); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** June 11, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1255788832) · Data from the CMS NPPES public registry.