JEMINA MARY PULLUKAT
NPI 1922964238
Nurse Practitioner in Lakeland, FL

Q: What is Jemina Pullukat's NPI number?

The NPI number for Jemina Pullukat is 1922964238. It was assigned to this individual provider in the NPPES registry on December 30, 2025.

Q: What is Jemina Pullukat'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 Jemina Pullukat was last updated on April 24, 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.

Active since December 30, 2025PECOS Enrolled

130 PABLO ST, LAKELAND, FL 33803(863) 284-5000 Get Directions Write a Review

NPPES record last updated: April 24, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 24, 2026, Dec 30, 2025 (2 updates tracked since 2025).

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About Jemina Mary Pullukat NPPES

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

JEMINA MARY PULLUKAT (NPI 1922964238) is an individual nurse practitioner in Lakeland, Florida, licensed in Florida (APRN11043272) and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS, maintains 5 additional practice locations, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1922964238

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameJEMINA MARY PULLUKAT

Location Address130 PABLO STLakeland, FL 33803-3818

Mailing Address1324 Lakeland Hills BlvdLakeland, FL 33805-4543

Phone(863) 284-5000

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateDecember 30, 2025

Last NPPES UpdateApril 24, 20262 updates tracked since enumeration

NPPES CertifiedApril 24, 2026

✔ NPI 1922964238 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 · APRN11043272

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.

130 PABLO ST, Lakeland, FL 33803

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Secondary Practice Locations 5

Location 12400 Kathleen RdLakeland, FL 33810-3077 · Phone (863) 284-6800

Location 223749 US Highway 27Lake Wales, FL 33859-7802 · Phone (863) 284-6800 · Fax (863) 284-1745

Location 34710 S Florida AveLakeland, FL 33813-2165 · Phone (863) 284-6800

Location 4930 Marcum RdLakeland, FL 33809-4308 · Phone (863) 284-6800

Location 55101 US Highway 98 SLakeland, FL 33812-4384 · Phone (863) 284-6800

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jemina Mary Pullukat is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8224516257

PECOS Enrollment IDI20260202000216

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 33803 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.

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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.

JENNIFER GLISSON FRASIER APRN

Nurse Practitioner