JAISON CHAKKAPPAN ELUVATHINGAL NURSE PRACTITONER
NPI 1891110342
Nurse Practitioner - Psychiatric/Mental Health in Davie, FL

Active since February 20, 2014PECOS Enrolled
8958 W STATE ROAD 84 STE 342, DAVIE, FL 33324(914) 602-6209 Get Directions Write a Review

NPPES record last updated: November 21, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 21, 2025, Jun 28, 2024, Jan 26, 2023 and 3 more (6 updates tracked since 2016).

About Jaison Chakkappan Eluvathingal Nurse Practitoner NPPES

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

JAISON CHAKKAPPAN ELUVATHINGAL NURSE PRACTITONER (NPI 1891110342) is an individual psychiatric/mental health provider in Davie, Florida, licensed in Florida (ARNP9315515) and active in the NPI registry since February 2014. He is enrolled in Medicare PECOS and maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1891110342
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameJAISON CHAKKAPPAN ELUVATHINGALCredential: NURSE PRACTITONER
Location Address8958 W STATE ROAD 84 STE 342Davie, FL 33324-4457
Mailing Address8958 W State Road 84 Ste 342Davie, FL 33324-4457 · (914) 602-6209
Sole ProprietorYes
Enumeration DateFebruary 20, 2014
Last NPPES UpdateNovember 21, 20256 updates tracked since enumeration
NPPES CertifiedNovember 21, 2025
NPI 1891110342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses Licensed in FL · ARNP9315515 Licensed in CA · 95370739
Also ListedPhysician AssistantTaxonomy 363A00000X · License 95370739 (CA)
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 95370739 (CA)
Also ListedNurse PractitionerTaxonomy 363L00000X · License 95370739 (CA)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 9315515 (FL)
8958 W STATE ROAD 84 STE 342, Davie, FL 33324

Secondary Practice Location 1

Location 110780 Santa Monica Blvd Ste 105Los Angeles, CA 90025-7613 · Phone (424) 521-1066 · Fax (424) 326-8553

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jaison Chakkappan Eluvathingal Nurse Practitoner 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33324 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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

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

Nurse Practitioner (Psychiatric/Mental Health)
8958 W STATE ROAD 84 STE 342
DAVIE, FL 33324

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891110342, enumerated as an "individual" on February 20, 2014.

The provider is located at 8958 W STATE ROAD 84 STE 342 DAVIE, FL 33324 and the phone number is (914) 602-6209.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

The provider might be accepting Accepts: Florida Blue (BlueCross BlueShield FL), Florida. Please consult your insurance carrier or call the provider to verify.