JESSICA MARIE CHIVLEATTO APRN
NPI 1366394124
Nurse Practitioner - Family in Palm Harbor, FL

Q: What is Jessica Chivleatto's NPI number?

The NPI number for Jessica Chivleatto is 1366394124. It was assigned to this individual provider in the NPPES registry on February 12, 2026.

Q: What is Jessica Chivleatto's specialty?

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

Active since February 12, 2026PECOS EnrolledAccepts Medicare Assignment

4197 WOODLANDS PKWY, PALM HARBOR, FL 34685(727) 786-3810(727) 786-3855 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 11, 2026, Mar 4, 2026 (2 updates tracked since 2026).

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About Jessica Marie Chivleatto Aprn NPPES

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

JESSICA MARIE CHIVLEATTO APRN (NPI 1366394124) is an individual family provider in Palm Harbor, Florida, licensed in Florida (APRN11045690) and active in the NPI registry since February 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1366394124

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJESSICA MARIE CHIVLEATTOCredential: APRN

Location Address4197 WOODLANDS PKWYPalm Harbor, FL 34685-3493

Mailing Address4197 Woodlands PkwyPalm Harbor, FL 34685-3493 · (813) 333-1512 · Fax (813) 333-1561

Phone(727) 786-3810

Fax(727) 786-3855

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateFebruary 12, 2026

Last NPPES UpdateMay 11, 20262 updates tracked since enumeration

NPPES CertifiedMay 11, 2026

✔ NPI 1366394124 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 · APRN11045690

4197 WOODLANDS PKWY, Palm Harbor, FL 34685

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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

Jessica Marie Chivleatto 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 ID7618447400

PECOS Enrollment IDI20260521001958

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 Reassignment

Medicare enrollment records show Jessica Chivleatto reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Palm Harbor Dermatology PA

Same address

Dermatology

4197 WOODLANDS PKWY
Palm Harbor, FL 34685

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

NPI 1497927016 (727) 786-3810

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 34685 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.

Other Providers at the Same Location NPPES 5

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

MRS. AUDREY FRIEDLAND FORD PA-C

Physician Assistant (Medical)