MR. JUSTIN E. PICKENS APRN
NPI 1790371995
Nurse Practitioner in Port Charlotte, FL

Q: What is Justin Pickens's NPI number?

The NPI number for Justin Pickens is 1790371995. It was assigned to this individual provider in the NPPES registry on December 12, 2020.

Q: What is Justin Pickens's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Justin Pickens was last updated on April 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since December 12, 2020PECOS EnrolledAccepts Medicare Assignment

96.24/100

CMS Quality Rating

4235 KINGS HIGHWAY, SUITE 103, PORT CHARLOTTE, FL 33980(941) 613-1777(941) 613-1779 Get Directions Write a Review

NPPES record last updated: April 30, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 9, 2024, Dec 15, 2023, Feb 16, 2021 and 1 more (4 updates tracked since 2020).

On this page

About Mr. Justin E. Pickens Aprn NPPES

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

MR. JUSTIN E. PICKENS APRN (NPI 1790371995) is an individual nurse practitioner in Port Charlotte, Florida, licensed in Florida (11010438) and active in the NPI registry since December 2020. He is enrolled in Medicare PECOS, is affiliated with Hca Florida North Florida Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1790371995

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameMR. JUSTIN E. PICKENSCredential: APRN

Location Address4235 KINGS HIGHWAY, SUITE 103Port Charlotte, FL 33980-8421

Mailing Address4235 Kings Highway, Suite 103Port Charlotte, FL 33980-8421 · (941) 613-1777 · Fax (941) 613-1779

Phone(941) 613-1777

Fax(941) 613-1779

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateDecember 12, 2020

Last NPPES UpdateApril 30, 20254 updates tracked since enumeration

NPPES CertifiedDecember 15, 2023

✔ NPI 1790371995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in FL · 11010438

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.

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 11010438 (FL)

4235 KINGS HIGHWAY, Port Charlotte, FL 33980

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida.Insurance ›

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

Mr. Justin E. Pickens 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 ID6608283999

PECOS Enrollment IDI20210405000571

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 Reassignments

Medicare enrollment records show Justin Pickens reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pulmonary Sleep And Critical Care Specialists Pl

Same address

Pulmonary Disease

4235 KINGS HWY, STE 103
Port Charlotte, FL 33980

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

NPI 1215367115 (941) 613-1777

Mori Bean And Brooks Inc

75 mi

Diagnostic Radiology

1 TAMPA GENERAL CIR
Tampa, FL 33606

Reassigned Medicare billing, Florida enrollment
1,130 clinicians in this Medicare group

NPI 1093782070 (904) 236-5884

Pulmonary Practice Associates MD PA

142 mi

Pulmonary Disease

1075 TOWN CENTER DR
Orange City, FL 32763

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

NPI 1114929643 (386) 917-0333

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

538 services404 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

69 services69 patients

Test for exercise-induced lung stress 94618

An exercise-induced lung stress test assesses how your lungs respond to physical activity. During the test, you'll exercise on a treadmill or stationary bike while your heart rate, breathing, blood pressure, and oxygen levels are monitored. This helps identify any abnormal lung responses to exercise.

62 services59 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

59 services58 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

27 services23 patients

Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) G0296

This visit involves discussing the necessity of a lung cancer screening using a low dose CT scan. It's a chance to determine if you're eligible for the test and to make an informed decision about proceeding. The scan can potentially detect lung cancer early, improving treatment outcomes.

18 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Hca Florida North Florida Hospital

Acute Care Hospitals · Gainesville, FL

2/5 CMS rating

OwnershipProprietary

CMS Certification Number100204

Location6500 W Newberry RdGainesville, FL 32605 · Alachua County

Emergency services Birthing friendly

Hca Florida Fawcett Hospital

Acute Care Hospitals · Port Charlotte, FL

2/5 CMS rating

OwnershipProprietary

CMS Certification Number100236

Location21298 Olean BlvdPort Charlotte, FL 33952 · Charlotte County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33980 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

96.24/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

Improvement Activities

Cost

77.49

Other Providers at the Same Location NPPES 6

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

JOHN R. CATANIA III APRN

Nurse Practitioner (Gerontology)