MRS. JESSICA SHACKLETT APRN
NPI 1467067371
Nurse Practitioner - Family in Bradenton, FL

Q: What is Jessica Shacklett's NPI number?

The NPI number for Jessica Shacklett is 1467067371. It was assigned to this individual provider in the NPPES registry on September 9, 2020.

Q: What is Jessica Shacklett's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jessica Shacklett was last updated on November 3, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 09, 2020PECOS EnrolledAccepts Medicare Assignment

316 MANATEE AVE W, BRADENTON, FL 34205(941) 748-2277(941) 748-1958 Get Directions Write a Review

NPPES record last updated: November 3, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 3, 2021, Oct 5, 2021, Sep 9, 2020 (3 updates tracked since 2020).

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About Mrs. Jessica Shacklett Aprn NPPES

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

MRS. JESSICA SHACKLETT APRN (NPI 1467067371) is an individual family provider in Bradenton, Florida, licensed in Florida (APRN11009058) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS, is affiliated with Manatee Memorial Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1467067371

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. JESSICA SHACKLETTCredential: APRN

Location Address316 MANATEE AVE WBradenton, FL 34205-8805

Mailing Address367 S Gulph Rd; Att Ipm CredentialingKing Of Prussia, PA 19406-3121 · (941) 748-2277 · Fax (941) 748-8714

Phone(941) 748-2277

Fax(941) 748-1958

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateSeptember 9, 2020

Last NPPES UpdateNovember 3, 20213 updates tracked since enumeration

NPPES CertifiedNovember 3, 2021

✔ NPI 1467067371 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 · APRN11009058

316 MANATEE AVE W, Bradenton, FL 34205

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Other Identifiers 1

Medicaid111541700FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Jessica Shacklett 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 ID4880090018

PECOS Enrollment IDI20210913003205

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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Manatee Memorial Hospital

Acute Care Hospitals · Bradenton, FL

2/5 CMS rating

OwnershipProprietary

CMS Certification Number100035

Location206 2nd St EBradenton, FL 34208 · Manatee County

Emergency services Birthing friendly

Lakewood Ranch Medical Center

Acute Care Hospitals · Bradenton, FL

3/5 CMS rating

OwnershipProprietary

CMS Certification Number100299

Location8330 Lakewood Ranch BlvdBradenton, FL 34202 · Manatee County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34205 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 20

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

DEVON BUCK APN

Nurse Practitioner (Acute Care)