JESUS ANTATICO MACROHON
NPI 1770189656
Nurse Practitioner in St Petersburg, FL

Active since December 07, 2020PECOS Enrolled
1839 CENTRAL AVE, ST PETERSBURG, FL 33713(727) 322-1054(727) 322-2725 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: May 28, 2026, Dec 7, 2020 (2 updates tracked since 2020).

About Jesus Antatico Macrohon NPPES

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

JESUS ANTATICO MACROHON (NPI 1770189656) is an individual nurse practitioner in St Petersburg, Florida, licensed in Florida (APRN11006709) and active in the NPI registry since December 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1770189656
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameJESUS ANTATICO MACROHON
Location Address1839 CENTRAL AVESt Petersburg, FL 33713-8900
Mailing Address1839 Central AveSt Petersburg, FL 33713-8900 · (727) 322-1054 · Fax (727) 322-2725
Fax(727) 322-2725
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 7, 2020
Last NPPES UpdateMay 28, 20262 updates tracked since enumeration
NPPES CertifiedMay 28, 2026
NPI 1770189656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in FL · APRN11006709
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1839 CENTRAL AVE, St Petersburg, FL 33713

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jesus Antatico Macrohon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5597290221
PECOS Enrollment IDI20241119000708
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33713 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.

Nurse Practitioner (Family)
1839 CENTRAL AVE
SAINT PETERSBURG, FL 33713
Nurse Practitioner (Family)
1839 CENTRAL AVE
SAINT PETERSBURG, FL 33713
Pharmacist
1839 CENTRAL AVE
ST PETERSBURG, FL 33713
Internal Medicine
1839 CENTRAL AVE
ST PETERSBURG, FL 33713
Nurse Practitioner (Family)
1839 CENTRAL AVE
ST PETERSBURG, FL 33713
Nurse Practitioner (Gerontology)
1839 CENTRAL AVE
ST PETERSBURG, FL 33713
Nurse Practitioner
1839 CENTRAL AVE
ST PETERSBURG, FL 33713
Internal Medicine
1839 CENTRAL AVE
ST PETERSBURG, FL 33713

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 Jesus Macrohon's NPI number?

The NPI number for Jesus Macrohon is 1770189656. It was assigned to this individual provider in the NPPES registry on December 7, 2020.

Where is Jesus Macrohon located?

Jesus Macrohon practices at 1839 Central Ave, St Petersburg, FL 33713. The listed phone number is (727) 322-1054.

What is Jesus Macrohon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jesus Macrohon enrolled in Medicare?

Yes. Jesus Macrohon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jesus Macrohon was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.