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JEANIACIEUSE THEODORE
NPI 1285450155
Nurse Practitioner - Family in Port Saint Lucie, FL

Active since November 25, 2024PECOS EnrolledAccepts Medicare Assignment
1801 SE HILLMOOR DR STE C104C103, PORT SAINT LUCIE, FL 34952(772) 742-2111 Get Directions Write a Review

NPPES record last updated: January 23, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jeaniacieuse Theodore NPPES

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

JEANIACIEUSE THEODORE (NPI 1285450155) is an individual family provider in Port Saint Lucie, Florida, licensed in Florida (11036138) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1285450155
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJEANIACIEUSE THEODORE
Location Address1801 SE HILLMOOR DR STE C104C103Port Saint Lucie, FL 34952-7553
Mailing Address1701 Se Hillmoor Dr Ste 7Port Saint Lucie, FL 34952-7552 · (772) 480-5860
Phone(772) 742-2111
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 25, 2024
Last NPPES UpdateJanuary 23, 2025
NPPES CertifiedJanuary 23, 2025
✔ NPI 1285450155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · 11036138
1801 SE HILLMOOR DR STE C104C103, Port Saint Lucie, FL 34952
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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

Jeaniacieuse Theodore 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 ID9234667056
PECOS Enrollment IDI20250107004119
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

3

Medicare enrollment records show Jeaniacieuse Theodore reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mobile Medical Operating Company LLC
1.0 mi
General Practice
1840 SE PORT ST LUCIE BLVD STE 1840
Port St Lucie, FL 34952
  • Reassigned Medicare billing, Florida enrollment
  • 29 clinicians in this Medicare group
NPI 1245983022 (772) 221-7620
Harmony Point Care Solutions LLC
7.5 mi
Family
1860 SW FOUNTAINVIEW BLVD STE 100
Port Saint Lucie, FL 34986
  • Reassigned Medicare billing, Florida enrollment
NPI 1235066275 (561) 234-6046
Adventist Health System/Sunbelt, Inc.
92 mi
Family Medicine
4660 13TH ST
Saint Cloud, FL 34769
  • Reassigned Medicare billing, Florida enrollment
  • 112 clinicians in this Medicare group
NPI 1851825343 (407) 200-2300

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 34952 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.

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 Jeaniacieuse Theodore's NPI number?

The NPI number for Jeaniacieuse Theodore is 1285450155. It was assigned to this individual provider in the NPPES registry on November 25, 2024.

Where is Jeaniacieuse Theodore located?

Jeaniacieuse Theodore practices at 1801 SE Hillmoor Dr Ste C104c103, Port Saint Lucie, FL 34952. The listed phone number is (772) 742-2111.

What is Jeaniacieuse Theodore's specialty?

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

Is Jeaniacieuse Theodore enrolled in Medicare?

Yes. Jeaniacieuse Theodore 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 Jeaniacieuse Theodore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeaniacieuse Theodore reassigns Medicare benefits to 3 organizations: Mobile Medical Operating Company LLC (Port St Lucie, FL), Harmony Point Care Solutions LLC (Port Saint Lucie, FL) and Adventist Health System/Sunbelt, Inc. (Saint Cloud, FL). 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 Jeaniacieuse Theodore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jeaniacieuse Theodore was last updated on January 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.