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JESICA CLEVELAND ARCHIE MSN
NPI 1588974869
Nurse Practitioner - Pediatrics in Orlando, FL

Active since October 20, 2010PECOS Enrolled
1720 S ORANGE AVE, ORLANDO, FL 32806(407) 540-1000(407) 540-1011 Get Directions Write a Review

NPPES record last updated: April 30, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Jesica Cleveland Archie Msn NPPES

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

JESICA CLEVELAND ARCHIE MSN (NPI 1588974869) is an individual pediatrics provider in Orlando, Florida, licensed in Florida (APRN9497670) and active in the NPI registry since October 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1588974869
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameJESICA CLEVELAND ARCHIECredential: MSN
Location Address1720 S ORANGE AVEOrlando, FL 32806-2945
Mailing Address1720 S Orange AveOrlando, FL 32806-2945 · (407) 540-1000 · Fax (407) 540-1011
Phone(407) 540-1000
Fax(407) 540-1011
Sole ProprietorNo
Enumeration DateOctober 20, 2010
Last NPPES UpdateApril 30, 2020
NPPES CertifiedApril 30, 2020
✔ NPI 1588974869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
Licenses✔ Licensed in FL · APRN9497670✔ Licensed in SC · 4317
1720 S ORANGE AVE, Orlando, FL 32806
Open in Google Maps ↗

Other Identifiers 2

Medicaid105761900FL
Other4317SC · Aprn License Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jesica Cleveland Archie Msn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Jesica Archie reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Medical Associates
306 mi
Pediatric Emergency Medicine
171 ASHLEY AVE
Charleston, SC 29425
  • Reassigned Medicare billing, South Carolina enrollment
  • Medicare enrollment name: University Medical Associates Of The Medical University Of South Carol
  • 2,594 clinicians in this Medicare group
NPI 1548413453 (843) 792-1414

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 32806 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 8

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

JESSICA SUSAN PACKWOOD P.A.
Physician Assistant (Medical)
1720 S ORANGE AVE, STE 500
ORLANDO, FL 32806
Orange County (407) 426-9693
MRS. SMITHAMOL GREEGORIOUS THOMAS APRN
Nurse Practitioner (Adult Health)
1720 S ORANGE AVE
ORLANDO, FL 32806
Orange County (321) 842-9000
MRS. DIPTI LINCOLN LMHC
Counselor (Mental Health)
1720 S ORANGE AVE
ORLANDO, FL 32806
Orange County (321) 842-9000
RYAN JOHN ANDERSON PA-C
Physician Assistant (Medical)
1720 S ORANGE AVE
ORLANDO, FL 32806
Orange County (321) 842-9000
LORI SMITH, LCSW, LLC
Social Worker (Clinical)
1720 S ORANGE AVE, SUITE 501
ORLANDO, FL 32806
Orange County (407) 760-7395
DR. MARC LEVY MD
Surgery (Pediatric Surgery)
1720 S ORANGE AVE
ORLANDO, FL 32806
Orange County (407) 540-1000
GEORGE WILLIAM CHISHOLM, M.D.
Specialist
1720 S ORANGE AVE, SUITE 102
ORLANDO, FL 32806
Orange County (407) 841-1521
DR. DENNIS CARL BLANCHETTE D.O
Family Medicine
1720 S ORANGE AVE, SUITE 200
ORLANDO, FL 32806
Orange County (407) 426-9693

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 Jesica Archie's NPI number?

The NPI number for Jesica Archie is 1588974869. It was assigned to this individual provider in the NPPES registry on October 20, 2010.

Where is Jesica Archie located?

Jesica Archie practices at 1720 S Orange Ave, Orlando, FL 32806. The listed phone number is (407) 540-1000.

What is Jesica Archie's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Jesica Archie enrolled in Medicare?

Yes. Jesica Archie is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jesica Archie's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jesica Archie reassigns Medicare benefits to University Medical Associates (Charleston, SC). 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 Jesica Archie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jesica Archie accept?

Health plans from BlueCross BlueShield of South Carolina and UnitedHealthcare list Jesica Archie 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 Jesica Archie was last updated on April 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.