JACLYN POMA
NPI 1295563443
Nurse Practitioner - Family in Hollywood, FL
About Jaclyn Poma NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACLYN POMA (NPI 1295563443) is an individual family provider in Hollywood, Florida, licensed in Florida (11034161) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
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
Jaclyn Poma 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 Reassignment
Medicare enrollment records show Jaclyn Poma reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Boynton Beach, FL 33435
- Reassigned Medicare billing, Florida enrollment
- 3 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 33021 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 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HOLLYWOOD, FL 33021
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 Jaclyn Poma's NPI number?
The NPI number for Jaclyn Poma is 1295563443. It was assigned to this individual provider in the NPPES registry on July 22, 2024.
Where is Jaclyn Poma located?
Jaclyn Poma practices at 3911 Hollywood Blvd Ste 201, Hollywood, FL 33021. The listed phone number is (754) 888-1368.
What is Jaclyn Poma's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jaclyn Poma enrolled in Medicare?
Yes. Jaclyn Poma 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 organization bills Medicare for Jaclyn Poma's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jaclyn Poma reassigns Medicare benefits to Sami I Dagher MD PA (Boynton Beach, FL). The 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 Jaclyn Poma'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 Jaclyn Poma was last updated on July 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.
# Jaclyn Poma · NPI 1295563443
Family physician in Hollywood, Florida. Individual provider, active in the CMS NPPES registry since July 22, 2024.
## Identity
- **NPI:** 1295563443 (Entity type: Individual)
- **Enumerated:** July 22, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 11034161 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3911 HOLLYWOOD BLVD STE 201, Hollywood, FL 33021-6795
- **Phone:** (754) 888-1368
## 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:** Sami I Dagher MD PA (NPI 1144456302, Boynton Beach, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** July 22, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1295563443) · Data from the CMS NPPES public registry.