MRS. JACKELINE CONDE (APRN-BC) – Family Nurse Practitioner, NPI 1063018133

MRS. JACKELINE CONDE (APRN-BC) is a healthcare provider. based in Port saint lucie, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN-BC. They hold a License No. 11010147 (FL). The NPI Number for MRS. JACKELINE CONDE (APRN-BC) is 1063018133

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JACKELINE CONDE (APRN-BC)
NPI
1063018133
Phone
(305) 216-1619
Address
2501 SW Import Dr
Enumeration Date
4 December 2020
Last Update Date
16 April 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7722407822
Graduation Year
2020 (6 years ago)
PAC ID
4587071824
Group Practice PAC ID
5890751929
Professional Enrollment ID
I20210401001999
Address ID
FL349532684PO808XXCTXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for MRS. JACKELINE CONDE (APRN-BC)

  • 2501 SW Import Dr

    Port Saint Lucie, FL 349872051

    Phone: (305) 216-1619

    Type: Location

  • 2501 SW IMPORT DR

    PORT SAINT LUCIE, FL 349872051

    Phone: (305) 216-1619

    Type: Mailing

  • 808 SW GLENVIEW CT, SUITES 812 AND 814

    PORT SAINT LUCIE, FL 349533495

    Phone: (772) 240-7822

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 50 Open Payments records for all available years, with a total value of $967.

Total Amount is formed as General ($967) + Research ($0) + Ownership ($0) = $967.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($283).

Total Amount

$967

General + Research + Ownership

Payments

50

Total payment records

General Amount

$967

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-04-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210401001999INurse PractitionerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes3122$0
99213Established patient office or other outpatient visit, 20-29 minutes2721$0
View full utilization report →

Insurance plans in this area (ZIP 34987)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5890751929View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Internal MedicineFL
Nurse PractitionerFL
Nurse PractitionerFL
Cardiovascular Disease (Cardiology), Interventional CardiologyOH
Physician AssistantFL
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineFL
Nurse PractitionerFL
Cardiovascular Disease (Cardiology)FL
Nurse PractitionerFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

What is the 10-digit NPI for MRS. JACKELINE CONDE (APRN-BC)?
MRS. JACKELINE CONDE (APRN-BC) — NPI 1063018133 — is the standard way to identify this listing.
Is MRS. JACKELINE CONDE (APRN-BC) listed as active for patients and plans?
The listing shows MRS. JACKELINE CONDE (APRN-BC) as active in the NPI system.
What is MRS. JACKELINE CONDE (APRN-BC)'s primary classification?
Family Nurse Practitioner is the headline specialty for MRS. JACKELINE CONDE (APRN-BC) here. Clinical services aligned with this taxonomy classification.
What address line appears for MRS. JACKELINE CONDE (APRN-BC)?
MRS. JACKELINE CONDE (APRN-BC)'s geographic hint is Port Saint Lucie, Florida in our summary view.
Is the information about MRS. JACKELINE CONDE (APRN-BC) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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